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97158 · Kentucky · every payer

What every payer pays for 97158 in Kentucky

4 commercial payers publish Kentucky rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $13.98 per 15 min. Kentucky Medicaid's fee-for-service rate, $8.48 per 15 min, is 39% below that commercial median.

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

Commercial median
$13.98per 15 min
Kentucky Medicaid
$8.48
TRICARE
$7.38
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Payer mix

97158 in Kentucky, by payer type

TRICARE pays $7.38 per 15 min.

Kentucky Medicaid$8.48
Commercial (4 payers)$13.98
TRICARE$7.38
UnitedHealthcare$5.73
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Kentucky

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$5.73 per 15 min$22.9297
AetnaCommercial$20.97 per 15 min$83.8813
See every payer's 97158 rate in Kentucky

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 Kentucky?

The median of 4 payers' medians is $13.98 per 15 min, from 121 published rates in the October 2026 files.

How does Kentucky Medicaid compare with commercial insurance for 97158?

Kentucky Medicaid pays $8.48 per 15 min, 39% below the commercial median.

What does UnitedHealthcare pay for 97158 in Kentucky?

UnitedHealthcare's median is $5.73 per 15 min, from 97 rates and 202 providers.

What does Aetna pay for 97158 in Kentucky?

Aetna's median is $20.97 per 15 min, from 13 rates and 34 providers.