BCBS Illinois reimbursement rates in Pennsylvania
Across 9 published rates from 40 providers, BCBS Illinois pays a median of $23.23 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania. That is 83% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 86
- 97153 median
- $23.23per 15 min
- Files
- September 2026
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BCBS Illinois vs Pennsylvania Medicaid
BCBS Illinois's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Pennsylvania is $36.36 per 15 min, across 9 published rates from 40 providers. That is 65% above Pennsylvania Medicaid's fee-for-service rate of $22.09. BCBS Illinois publishes Pennsylvania rates for 86 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS Illinois median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $23.23per 15 min | $92.92 | $12.7383% above | — | 940 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.36per 15 min | $145.44 | $22.0965% above | — | 940 providers |
All 86 BCBS Illinois codes with a median in Pennsylvania
Frequently asked questions
What does BCBS Illinois pay for 97153 in Pennsylvania?
The median of BCBS Illinois's published Pennsylvania rates for 97153 is $23.23 per 15 min ($92.92 per hour), from 9 rates and 40 providers in the September 2026 files.
Does BCBS Illinois pay more than Pennsylvania Medicaid for 97153?
BCBS Illinois's median is 83% above the Medicaid fee-for-service rate of $12.73 per 15 min.
What does BCBS Illinois pay for 97155 in Pennsylvania?
The median of BCBS Illinois's published Pennsylvania rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 9 rates and 40 providers in the September 2026 files.
Does BCBS Illinois pay more than Pennsylvania Medicaid for 97155?
BCBS Illinois's median is 65% above the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does BCBS Illinois publish rates for in Pennsylvania?
86 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.