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97158 · West Virginia · every payer

What every payer pays for 97158 in West Virginia

Across 2 commercial payers in West Virginia, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $13.65 per 15 min. West Virginia Medicaid's fee-for-service rate, $11.79 per 15 min, is 14% below that commercial median.

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

Open the payer mixWest Virginia Medicaid rates
Commercial median
$13.65per 15 min
West Virginia Medicaid
$11.79
TRICARE
$7.38
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Payer mix

97158 in West Virginia, by payer type

TRICARE pays $7.38 per 15 min.

West Virginia Medicaid$11.79
Commercial (2 payers)$13.65
TRICARE$7.38
UnitedHealthcare$6.33
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in West Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$6.33 per 15 min$25.3246
AetnaCommercial$20.97 per 15 min$83.885
See every payer's 97158 rate in West 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 West Virginia?

The median of 2 payers' medians is $13.65 per 15 min, from 51 published rates in the October 2026 files.

How does West Virginia Medicaid compare with commercial insurance for 97158?

West Virginia Medicaid pays $11.79 per 15 min, 14% below the commercial median.

What does UnitedHealthcare pay for 97158 in West Virginia?

UnitedHealthcare's median is $6.33 per 15 min, from 46 rates and 73 providers.

What does Aetna pay for 97158 in West Virginia?

Aetna's median is $20.97 per 15 min, from 5 rates and 13 providers.

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