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97158 · New Jersey · every payer

What every payer pays for 97158 in New Jersey

5 commercial payers publish New Jersey rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $7.44 per 15 min. New Jersey Medicaid's fee-for-service rate, $5.60 per 15 min, is 25% below that commercial median.

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

Commercial median
$7.44per 15 min
New Jersey Medicaid
$5.60
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Payer mix

97158 in New Jersey, by payer type

New Jersey Medicaid$5.60
Commercial (5 payers)$7.44
UnitedHealthcare$4.71
Horizon BCBS NJ$4.82
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in New Jersey

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$4.71 per 15 min$18.84127
Horizon BCBS NJCommercial$4.82 per 15 min$19.28114
See every payer's 97158 rate in New Jersey

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 New Jersey?

The median of 5 payers' medians is $7.44 per 15 min, from 363 published rates in the October 2026 files.

How does New Jersey Medicaid compare with commercial insurance for 97158?

New Jersey Medicaid pays $5.60 per 15 min, 25% below the commercial median.

What does UnitedHealthcare pay for 97158 in New Jersey?

UnitedHealthcare's median is $4.71 per 15 min, from 127 rates and 295 providers.

What does Horizon BCBS NJ pay for 97158 in New Jersey?

Horizon BCBS NJ's median is $4.82 per 15 min, from 114 rates and 1065 providers.