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97158 · Texas · every payer

What every payer pays for 97158 in Texas

5 commercial payers publish Texas rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $8.06 per 15 min. Texas Medicaid's fee-for-service rate, $2.81 per 15 min, is 65% below that commercial median.

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

Commercial median
$8.06per 15 min
Texas Medicaid
$2.81
TRICARE
$7.61
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Payer mix

97158 in Texas, by payer type

TRICARE pays $7.61 per 15 min.

Texas Medicaid$2.81
Commercial (5 payers)$8.06
TRICARE$7.61
UnitedHealthcare$5.77
Aetna$24.60
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Texas

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$5.77 per 15 min$23.08276
AetnaCommercial$24.60 per 15 min$98.4038
See every payer's 97158 rate in Texas

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 Texas?

The median of 5 payers' medians is $8.06 per 15 min, from 392 published rates in the October 2026 files.

How does Texas Medicaid compare with commercial insurance for 97158?

Texas Medicaid pays $2.81 per 15 min, 65% below the commercial median.

What does UnitedHealthcare pay for 97158 in Texas?

UnitedHealthcare's median is $5.77 per 15 min, from 276 rates and 755 providers.

What does Aetna pay for 97158 in Texas?

Aetna's median is $24.60 per 15 min, from 38 rates and 227 providers.