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97158 · Montana · every payer

What every payer pays for 97158 in Montana

Across 4 commercial payers in Montana, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $8.95 per 15 min. Montana Medicaid's fee-for-service rate, $6.84 per 15 min, is 24% below that commercial median.

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

Open the payer mixMontana Medicaid rates
Commercial median
$8.95per 15 min
Montana Medicaid
$6.84
TRICARE
$7.60
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Payer mix

97158 in Montana, by payer type

TRICARE pays $7.60 per 15 min.

Montana Medicaid$6.84
Commercial (4 payers)$8.95
TRICARE$7.60
UnitedHealthcare$8.95
Horizon BCBS NJ$7.73
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Montana

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$8.95 per 15 min$35.8030
Horizon BCBS NJCommercial$7.73 per 15 min$30.9212
See every payer's 97158 rate in Montana

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 Montana?

The median of 4 payers' medians is $8.95 per 15 min, from 61 published rates in the October 2026 files.

How does Montana Medicaid compare with commercial insurance for 97158?

Montana Medicaid pays $6.84 per 15 min, 24% below the commercial median.

What does UnitedHealthcare pay for 97158 in Montana?

UnitedHealthcare's median is $8.95 per 15 min, from 30 rates and 37 providers.

What does Horizon BCBS NJ pay for 97158 in Montana?

Horizon BCBS NJ's median is $7.73 per 15 min, from 12 rates and 9 providers.

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