Skip to content
97158 · Hawaii · every payer

What every payer pays for 97158 in Hawaii

Across 4 commercial payers in Hawaii, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $8.97 per 15 min. Hawaii Medicaid's fee-for-service rate, $24.86 per 15 min, is 177% above that commercial median.

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

Commercial median
$8.97per 15 min
Hawaii Medicaid
$24.86
TRICARE
$7.83
On this page
Payer mix

97158 in Hawaii, by payer type

TRICARE pays $7.83 per 15 min.

Hawaii Medicaid$24.86
Commercial (4 payers)$8.97
TRICARE$7.83
UnitedHealthcare$8.75
Aetna$24.60
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Hawaii

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$8.75 per 15 min$35.0015
AetnaCommercial$24.60 per 15 min$98.4010
See every payer's 97158 rate in Hawaii

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

  • Every payer
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What do commercial payers pay for 97158 in Hawaii?

The median of 4 payers' medians is $8.97 per 15 min, from 36 published rates in the October 2026 files.

How does Hawaii Medicaid compare with commercial insurance for 97158?

Hawaii Medicaid pays $24.86 per 15 min, 177% above the commercial median.

What does UnitedHealthcare pay for 97158 in Hawaii?

UnitedHealthcare's median is $8.75 per 15 min, from 15 rates and 57 providers.

What does Aetna pay for 97158 in Hawaii?

Aetna's median is $24.60 per 15 min, from 10 rates and 35 providers.