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97155 · Maryland · every payer

What every payer pays for 97155 in Maryland

7 commercial payers publish Maryland rates for 97155 (ABA therapy led by the analyst (plan adjusted in session)), and the median of their medians is $29.41 per 15 min. Maryland Medicaid's fee-for-service rate, $38.34 per 15 min, is 30% above that commercial median.

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

Commercial median
$29.41per 15 min
Maryland Medicaid
$38.34
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Payer mix

97155 in Maryland, by payer type

Maryland Medicaid$38.34
Commercial (7 payers)$29.41
UnitedHealthcare$28.66
Horizon BCBS NJ$29.41
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97155 rate in Maryland

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$28.66 per 15 min$114.64124
Horizon BCBS NJCommercial$29.41 per 15 min$117.6426
See every payer's 97155 rate in Maryland

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 97155 in Maryland?

The median of 7 payers' medians is $29.41 per 15 min, from 221 published rates in the October 2026 files.

How does Maryland Medicaid compare with commercial insurance for 97155?

Maryland Medicaid pays $38.34 per 15 min, 30% above the commercial median.

What does UnitedHealthcare pay for 97155 in Maryland?

UnitedHealthcare's median is $28.66 per 15 min, from 124 rates and 320 providers.

What does Horizon BCBS NJ pay for 97155 in Maryland?

Horizon BCBS NJ's median is $29.41 per 15 min, from 26 rates and 62 providers.