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97158 · District of Columbia · every payer

What every payer pays for 97158 in District of Columbia

Across 3 commercial payers in District of Columbia, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $9.61 per 15 min. District of Columbia Medicaid publishes no fee-for-service rate for 97158.

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

Commercial median
$9.61per 15 min
District of Columbia Medicaid
—
TRICARE
$8.25
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Payer mix

97158 in District of Columbia, by payer type

TRICARE pays $8.25 per 15 min.

Commercial (3 payers)$9.61
TRICARE$8.25
UnitedHealthcare$9.61
Horizon BCBS NJ$4.82
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in District of Columbia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$9.61 per 15 min$38.4437
Horizon BCBS NJCommercial$4.82 per 15 min$19.286
See every payer's 97158 rate in District of Columbia

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 District of Columbia?

The median of 3 payers' medians is $9.61 per 15 min, from 49 published rates in the October 2026 files.

What does UnitedHealthcare pay for 97158 in District of Columbia?

UnitedHealthcare's median is $9.61 per 15 min, from 37 rates and 57 providers.

What does Horizon BCBS NJ pay for 97158 in District of Columbia?

Horizon BCBS NJ's median is $4.82 per 15 min, from 6 rates and 8 providers.