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97158 · Washington · every payer

What every payer pays for 97158 in Washington

5 commercial payers publish Washington rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $8.22 per 15 min. Washington Medicaid's fee-for-service rate, $12.40 per 15 min, is 51% above that commercial median.

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

Commercial median
$8.22per 15 min
Washington Medicaid
$12.40
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Payer mix

97158 in Washington, by payer type

Washington Medicaid$12.40
Commercial (5 payers)$8.22
UnitedHealthcare$9.44
Kaiser Permanente$6.30
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Washington

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$9.44 per 15 min$37.76143
Kaiser PermanenteCommercial$6.30 per 15 min$25.2052
See every payer's 97158 rate in Washington

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 Washington?

The median of 5 payers' medians is $8.22 per 15 min, from 242 published rates in the October 2026 files.

How does Washington Medicaid compare with commercial insurance for 97158?

Washington Medicaid pays $12.40 per 15 min, 51% above the commercial median.

What does UnitedHealthcare pay for 97158 in Washington?

UnitedHealthcare's median is $9.44 per 15 min, from 143 rates and 229 providers.

What does Kaiser Permanente pay for 97158 in Washington?

Kaiser Permanente's median is $6.30 per 15 min, from 52 rates and 92 providers.