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97158 · California · every payer

What every payer pays for 97158 in California

7 commercial payers publish California rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $16.25 per 15 min. California Medicaid publishes no fee-for-service rate for 97158.

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

Open the payer mixCalifornia Medicaid rates
Commercial median
$16.25per 15 min
California Medicaid
—
TRICARE
$8.04
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Payer mix

97158 in California, by payer type

TRICARE pays $8.04 per 15 min.

Commercial (7 payers)$16.25
TRICARE$8.04
UnitedHealthcare$6.14
Kaiser Permanente$12.50
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in California

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$6.14 per 15 min$24.56287
Kaiser PermanenteCommercial$12.50 per 15 min$50.0058
See every payer's 97158 rate in California

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 California?

The median of 7 payers' medians is $16.25 per 15 min, from 454 published rates in the October 2026 files.

What does UnitedHealthcare pay for 97158 in California?

UnitedHealthcare's median is $6.14 per 15 min, from 287 rates and 876 providers.

What does Kaiser Permanente pay for 97158 in California?

Kaiser Permanente's median is $12.50 per 15 min, from 58 rates and 69 providers.

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