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97155 · Montana · every payer

What every payer pays for 97155 in Montana

5 commercial payers publish Montana rates for 97155 (ABA therapy led by the analyst (plan adjusted in session)), and the median of their medians is $39.28 per 15 min. Montana Medicaid's fee-for-service rate, $20.46 per 15 min, is 48% below that commercial median.

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

Commercial median
$39.28per 15 min
Montana Medicaid
$20.46
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Payer mix

97155 in Montana, by payer type

Montana Medicaid$20.46
Commercial (5 payers)$39.28
UnitedHealthcare$56.00
Horizon BCBS NJ$42.99
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97155 rate in Montana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$56.00 per 15 min$224.0028
Horizon BCBS NJCommercial$42.99 per 15 min$171.9613
See every payer's 97155 rate in Montana

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 Montana?

The median of 5 payers' medians is $39.28 per 15 min, from 68 published rates in the October 2026 files.

How does Montana Medicaid compare with commercial insurance for 97155?

Montana Medicaid pays $20.46 per 15 min, 48% below the commercial median.

What does UnitedHealthcare pay for 97155 in Montana?

UnitedHealthcare's median is $56.00 per 15 min, from 28 rates and 37 providers.

What does Horizon BCBS NJ pay for 97155 in Montana?

Horizon BCBS NJ's median is $42.99 per 15 min, from 13 rates and 9 providers.