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97158 · Wisconsin · every payer

What every payer pays for 97158 in Wisconsin

4 commercial payers publish Wisconsin rates for 97158 (group ABA therapy led by the analyst), and the median of their medians is $8.93 per 15 min. Wisconsin Medicaid's fee-for-service rate, $6.39 per 15 min, is 28% below that commercial median.

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

Commercial median
$8.93per 15 min
Wisconsin Medicaid
$6.39
TRICARE
$7.46
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Payer mix

97158 in Wisconsin, by payer type

TRICARE pays $7.46 per 15 min.

Wisconsin Medicaid$6.39
Commercial (4 payers)$8.93
TRICARE$7.46
UnitedHealthcare$9.74
Kaiser Permanente$8.93
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in Wisconsin

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$9.74 per 15 min$38.96147
Kaiser PermanenteCommercial$8.93 per 15 min$35.7216
See every payer's 97158 rate in Wisconsin

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 Wisconsin?

The median of 4 payers' medians is $8.93 per 15 min, from 185 published rates in the October 2026 files.

How does Wisconsin Medicaid compare with commercial insurance for 97158?

Wisconsin Medicaid pays $6.39 per 15 min, 28% below the commercial median.

What does UnitedHealthcare pay for 97158 in Wisconsin?

UnitedHealthcare's median is $9.74 per 15 min, from 147 rates and 190 providers.

What does Kaiser Permanente pay for 97158 in Wisconsin?

Kaiser Permanente's median is $8.93 per 15 min, from 16 rates and 7 providers.