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97154 · Virginia · every payer

What every payer pays for 97154 in Virginia

Across 7 commercial payers in Virginia, the middle payer's median for 97154 (group ABA therapy by a technician) is $6.38 per 15 min. Virginia Medicaid's fee-for-service rate, $13.13 per 15 min, is 106% above that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$6.38per 15 min
Virginia Medicaid
$13.13
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Payer mix

97154 in Virginia, by payer type

Virginia Medicaid$13.13
Commercial (7 payers)$6.38
UnitedHealthcare$6.32
Horizon BCBS NJ$6.00
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97154 rate in Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$6.32 per 15 min$25.28151
Horizon BCBS NJCommercial$6.00 per 15 min$24.0018
See every payer's 97154 rate in Virginia

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97154 in Virginia?

The median of 7 payers' medians is $6.38 per 15 min, from 229 published rates in the October 2026 files.

How does Virginia Medicaid compare with commercial insurance for 97154?

Virginia Medicaid pays $13.13 per 15 min, 106% above the commercial median.

What does UnitedHealthcare pay for 97154 in Virginia?

UnitedHealthcare's median is $6.32 per 15 min, from 151 rates and 256 providers.

What does Horizon BCBS NJ pay for 97154 in Virginia?

Horizon BCBS NJ's median is $6.00 per 15 min, from 18 rates and 50 providers.