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97155 · Pennsylvania · every payer

What every payer pays for 97155 in Pennsylvania

8 commercial payers publish Pennsylvania 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. Pennsylvania Medicaid's fee-for-service rate, $22.09 per 15 min, is 25% below that commercial median.

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

Open the payer mixPennsylvania Medicaid rates
Commercial median
$29.41per 15 min
Pennsylvania Medicaid
$22.09
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Payer mix

97155 in Pennsylvania, by payer type

Pennsylvania Medicaid$22.09
Commercial (8 payers)$29.41
UnitedHealthcare$36.21
Horizon BCBS NJ$29.41
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97155 rate in Pennsylvania

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$36.21 per 15 min$144.84198
Horizon BCBS NJCommercial$29.41 per 15 min$117.6449
See every payer's 97155 rate in Pennsylvania

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 Pennsylvania?

The median of 8 payers' medians is $29.41 per 15 min, from 346 published rates in the October 2026 files.

How does Pennsylvania Medicaid compare with commercial insurance for 97155?

Pennsylvania Medicaid pays $22.09 per 15 min, 25% below the commercial median.

What does UnitedHealthcare pay for 97155 in Pennsylvania?

UnitedHealthcare's median is $36.21 per 15 min, from 198 rates and 374 providers.

What does Horizon BCBS NJ pay for 97155 in Pennsylvania?

Horizon BCBS NJ's median is $29.41 per 15 min, from 49 rates and 192 providers.

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