97158 · Pennsylvania · every payer
What every payer pays for 97158 in Pennsylvania
Across 5 commercial payers in Pennsylvania, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $8.04 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $8.15 per 15 min, is 1.4% above that commercial median.
- Commercial median
- $8.04per 15 min
- Pennsylvania Medicaid
- $8.15
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Payer mix
97158 in Pennsylvania, by payer type
By payer
Each payer's 97158 rate in Pennsylvania
FAQ
Frequently asked questions
What do commercial payers pay for 97158 in Pennsylvania?
The median of 5 payers' medians is $8.04 per 15 min, from 303 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97158?
Pennsylvania Medicaid pays $8.15 per 15 min, 1.4% above the commercial median.
What does UnitedHealthcare pay for 97158 in Pennsylvania?
UnitedHealthcare's median is $5.80 per 15 min, from 184 rates and 379 providers.
What does Horizon BCBS NJ pay for 97158 in Pennsylvania?
Horizon BCBS NJ's median is $4.82 per 15 min, from 47 rates and 195 providers.