97158 · New York · every payer
What every payer pays for 97158 in New York
Across 6 commercial payers in New York, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $7.00 per 15 min. New York Medicaid's fee-for-service rate, $3.31 per 15 min, is 53% below that commercial median.
- Commercial median
- $7.00per 15 min
- New York Medicaid
- $3.31
- TRICARE
- $8.32
On this page
Payer mix
97158 in New York, by payer type
TRICARE pays $8.32 per 15 min.
By payer
Each payer's 97158 rate in New York
FAQ
Frequently asked questions
What do commercial payers pay for 97158 in New York?
The median of 6 payers' medians is $7.00 per 15 min, from 393 published rates in the October 2026 files.
How does New York Medicaid compare with commercial insurance for 97158?
New York Medicaid pays $3.31 per 15 min, 53% below the commercial median.
What does UnitedHealthcare pay for 97158 in New York?
UnitedHealthcare's median is $6.85 per 15 min, from 243 rates and 576 providers.
What does Horizon BCBS NJ pay for 97158 in New York?
Horizon BCBS NJ's median is $4.82 per 15 min, from 61 rates and 266 providers.