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97158 · Virginia · every payer

What every payer pays for 97158 in Virginia

Across 5 commercial payers in Virginia, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $7.78 per 15 min. Virginia Medicaid's fee-for-service rate, $28.13 per 15 min, is 262% above that commercial median.

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

Commercial median
$7.78per 15 min
Virginia Medicaid
$28.13
TRICARE
$7.54
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Payer mix

97158 in Virginia, by payer type

TRICARE pays $7.54 per 15 min.

Virginia Medicaid$28.13
Commercial (5 payers)$7.78
TRICARE$7.54
UnitedHealthcare$7.32
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$7.32 per 15 min$29.28155
AetnaCommercial$20.97 per 15 min$83.8823
See every payer's 97158 rate in Virginia

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 Virginia?

The median of 5 payers' medians is $7.78 per 15 min, from 226 published rates in the October 2026 files.

How does Virginia Medicaid compare with commercial insurance for 97158?

Virginia Medicaid pays $28.13 per 15 min, 262% above the commercial median.

What does UnitedHealthcare pay for 97158 in Virginia?

UnitedHealthcare's median is $7.32 per 15 min, from 155 rates and 256 providers.

What does Aetna pay for 97158 in Virginia?

Aetna's median is $20.97 per 15 min, from 23 rates and 142 providers.