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97158 · South Carolina · every payer

What every payer pays for 97158 in South Carolina

5 commercial payers publish South Carolina rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $14.01 per 15 min. South Carolina Medicaid's fee-for-service rate, $13.00 per 15 min, is 7.2% below that commercial median.

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

Commercial median
$14.01per 15 min
South Carolina Medicaid
$13.00
TRICARE
$7.44
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Payer mix

97158 in South Carolina, by payer type

TRICARE pays $7.44 per 15 min.

South Carolina Medicaid$13.00
Commercial (5 payers)$14.01
TRICARE$7.44
UnitedHealthcare$7.06
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in South Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$7.06 per 15 min$28.2482
AetnaCommercial$20.97 per 15 min$83.8817
See every payer's 97158 rate in South Carolina

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 South Carolina?

The median of 5 payers' medians is $14.01 per 15 min, from 124 published rates in the October 2026 files.

How does South Carolina Medicaid compare with commercial insurance for 97158?

South Carolina Medicaid pays $13.00 per 15 min, 7.2% below the commercial median.

What does UnitedHealthcare pay for 97158 in South Carolina?

UnitedHealthcare's median is $7.06 per 15 min, from 82 rates and 108 providers.

What does Aetna pay for 97158 in South Carolina?

Aetna's median is $20.97 per 15 min, from 17 rates and 115 providers.