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97158 · Iowa · every payer

What every payer pays for 97158 in Iowa

3 commercial payers publish Iowa rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $9.05 per 15 min. Iowa Medicaid's fee-for-service rate, $8.39 per 15 min, is 7.3% below that commercial median.

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

Commercial median
$9.05per 15 min
Iowa Medicaid
$8.39
TRICARE
$7.38
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Payer mix

97158 in Iowa, by payer type

TRICARE pays $7.38 per 15 min.

Iowa Medicaid$8.39
Commercial (3 payers)$9.05
TRICARE$7.38
UnitedHealthcare$9.15
Horizon BCBS NJ$7.61
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Iowa

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$9.15 per 15 min$36.6067
Horizon BCBS NJCommercial$7.61 per 15 min$30.447
See every payer's 97158 rate in Iowa

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 Iowa?

The median of 3 payers' medians is $9.05 per 15 min, from 86 published rates in the October 2026 files.

How does Iowa Medicaid compare with commercial insurance for 97158?

Iowa Medicaid pays $8.39 per 15 min, 7.3% below the commercial median.

What does UnitedHealthcare pay for 97158 in Iowa?

UnitedHealthcare's median is $9.15 per 15 min, from 67 rates and 104 providers.

What does Horizon BCBS NJ pay for 97158 in Iowa?

Horizon BCBS NJ's median is $7.61 per 15 min, from 7 rates and 6 providers.