Skip to content
97158 · Vermont · every payer

What every payer pays for 97158 in Vermont

4 commercial payers publish Vermont rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $14.54 per 15 min. Vermont Medicaid's fee-for-service rate, $16.45 per 15 min, is 13% above that commercial median.

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

Commercial median
$14.54per 15 min
Vermont Medicaid
$16.45
TRICARE
$7.54
On this page
Payer mix

97158 in Vermont, by payer type

TRICARE pays $7.54 per 15 min.

Vermont Medicaid$16.45
Commercial (4 payers)$14.54
TRICARE$7.54
UnitedHealthcare$8.11
Kaiser Permanente$132.08
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Vermont

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$8.11 per 15 min$32.4419
Kaiser PermanenteCommercial$132.08 per 15 min$528.327
See every payer's 97158 rate in Vermont

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

  • Every payer
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What do commercial payers pay for 97158 in Vermont?

The median of 4 payers' medians is $14.54 per 15 min, from 36 published rates in the October 2026 files.

How does Vermont Medicaid compare with commercial insurance for 97158?

Vermont Medicaid pays $16.45 per 15 min, 13% above the commercial median.

What does UnitedHealthcare pay for 97158 in Vermont?

UnitedHealthcare's median is $8.11 per 15 min, from 19 rates and 25 providers.

What does Kaiser Permanente pay for 97158 in Vermont?

Kaiser Permanente's median is $132.08 per 15 min, from 7 rates and 3 providers.