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97158 · Indiana · every payer

What every payer pays for 97158 in Indiana

Across 5 commercial payers in Indiana, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $8.52 per 15 min. Indiana Medicaid's fee-for-service rate, $9.95 per 15 min, is 17% above that commercial median.

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

Commercial median
$8.52per 15 min
Indiana Medicaid
$9.95
TRICARE
$7.41
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Payer mix

97158 in Indiana, by payer type

TRICARE pays $7.41 per 15 min.

Indiana Medicaid$9.95
Commercial (5 payers)$8.52
TRICARE$7.41
UnitedHealthcare$6.75
Horizon BCBS NJ$7.00
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Indiana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$6.75 per 15 min$27.00130
Horizon BCBS NJCommercial$7.00 per 15 min$28.0016
See every payer's 97158 rate in Indiana

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 Indiana?

The median of 5 payers' medians is $8.52 per 15 min, from 190 published rates in the October 2026 files.

How does Indiana Medicaid compare with commercial insurance for 97158?

Indiana Medicaid pays $9.95 per 15 min, 17% above the commercial median.

What does UnitedHealthcare pay for 97158 in Indiana?

UnitedHealthcare's median is $6.75 per 15 min, from 130 rates and 175 providers.

What does Horizon BCBS NJ pay for 97158 in Indiana?

Horizon BCBS NJ's median is $7.00 per 15 min, from 16 rates and 27 providers.