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97158 · Maryland · every payer

What every payer pays for 97158 in Maryland

Across 5 commercial payers in Maryland, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $9.15 per 15 min. Maryland Medicaid's fee-for-service rate, $10.45 per 15 min, is 14% above that commercial median.

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

Commercial median
$9.15per 15 min
Maryland Medicaid
$10.45
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Payer mix

97158 in Maryland, by payer type

Maryland Medicaid$10.45
Commercial (5 payers)$9.15
UnitedHealthcare$4.60
Horizon BCBS NJ$7.00
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Maryland

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$4.60 per 15 min$18.40119
Horizon BCBS NJCommercial$7.00 per 15 min$28.0027
See every payer's 97158 rate in Maryland

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 Maryland?

The median of 5 payers' medians is $9.15 per 15 min, from 196 published rates in the October 2026 files.

How does Maryland Medicaid compare with commercial insurance for 97158?

Maryland Medicaid pays $10.45 per 15 min, 14% above the commercial median.

What does UnitedHealthcare pay for 97158 in Maryland?

UnitedHealthcare's median is $4.60 per 15 min, from 119 rates and 323 providers.

What does Horizon BCBS NJ pay for 97158 in Maryland?

Horizon BCBS NJ's median is $7.00 per 15 min, from 27 rates and 64 providers.