97156 · Pennsylvania · every payer
What every payer pays for 97156 in Pennsylvania
Across 8 commercial payers in Pennsylvania, the middle payer's median for 97156 (ABA parent or caregiver training by the analyst) is $31.25 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $22.09 per 15 min, is 29% below that commercial median.
- Commercial median
- $31.25per 15 min
- Pennsylvania Medicaid
- $22.09
- TRICARE
- $31.25
On this page
Payer mix
97156 in Pennsylvania, by payer type
TRICARE pays $31.25 per 15 min.
By payer
Each payer's 97156 rate in Pennsylvania
FAQ
Frequently asked questions
What do commercial payers pay for 97156 in Pennsylvania?
The median of 8 payers' medians is $31.25 per 15 min, from 355 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97156?
Pennsylvania Medicaid pays $22.09 per 15 min, 29% below the commercial median.
What does UnitedHealthcare pay for 97156 in Pennsylvania?
UnitedHealthcare's median is $37.67 per 15 min, from 198 rates and 374 providers.
What does Horizon BCBS NJ pay for 97156 in Pennsylvania?
Horizon BCBS NJ's median is $31.25 per 15 min, from 46 rates and 192 providers.