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H2019 · Pennsylvania · every payer

What every payer pays for H2019 in Pennsylvania

Across 3 commercial payers in Pennsylvania, the middle payer's median for H2019 (therapeutic behavioral services, per 15 minutes) is $19.07 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $26.01 per 15 min, is 36% above that commercial median.

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

Open the payer mixPennsylvania Medicaid rates
Commercial median
$19.07per 15 min
Pennsylvania Medicaid
$26.01
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Payer mix

H2019 in Pennsylvania, by payer type

Pennsylvania Medicaid$26.01
Commercial (3 payers)$19.07
BCBS Illinois$25.50
BCBS Michigan$19.07
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's H2019 rate in Pennsylvania

PayerMedianPer hourRates (n)
BCBS IllinoisCommercial$25.50 per 15 min$102.008
BCBS MichiganCommercial$19.07 per 15 min$76.288
See every payer's H2019 rate in Pennsylvania

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 H2019 in Pennsylvania?

The median of 3 payers' medians is $19.07 per 15 min, from 21 published rates in the October 2026 files.

How does Pennsylvania Medicaid compare with commercial insurance for H2019?

Pennsylvania Medicaid pays $26.01 per 15 min, 36% above the commercial median.

What does BCBS Illinois pay for H2019 in Pennsylvania?

BCBS Illinois's median is $25.50 per 15 min, from 8 rates and 47 providers.

What does BCBS Michigan pay for H2019 in Pennsylvania?

BCBS Michigan's median is $19.07 per 15 min, from 8 rates and 50 providers.

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Payers in Pennsylvania

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