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97158 · Arizona · every payer

What every payer pays for 97158 in Arizona

Across 5 commercial payers in Arizona, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $8.86 per 15 min. Arizona Medicaid's fee-for-service rate, $6.93 per 15 min, is 22% below that commercial median.

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

Open the payer mixArizona Medicaid rates
Commercial median
$8.86per 15 min
Arizona Medicaid
$6.93
TRICARE
$7.53
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Payer mix

97158 in Arizona, by payer type

TRICARE pays $7.53 per 15 min.

Arizona Medicaid$6.93
Commercial (5 payers)$8.86
TRICARE$7.53
UnitedHealthcare$5.44
Kaiser Permanente$10.71
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Arizona

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$5.44 per 15 min$21.76118
Kaiser PermanenteCommercial$10.71 per 15 min$42.8425
See every payer's 97158 rate in Arizona

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 97158 in Arizona?

The median of 5 payers' medians is $8.86 per 15 min, from 196 published rates in the October 2026 files.

How does Arizona Medicaid compare with commercial insurance for 97158?

Arizona Medicaid pays $6.93 per 15 min, 22% below the commercial median.

What does UnitedHealthcare pay for 97158 in Arizona?

UnitedHealthcare's median is $5.44 per 15 min, from 118 rates and 372 providers.

What does Kaiser Permanente pay for 97158 in Arizona?

Kaiser Permanente's median is $10.71 per 15 min, from 25 rates and 19 providers.

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