BCBS Minnesota reimbursement rates in Pennsylvania
BCBS Minnesota's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Pennsylvania is $21.60 per 15 min, across 8 published rates from 28 providers. That is 2.2% below Pennsylvania Medicaid's fee-for-service rate of $22.09.
- Codes with a median
- 16
- 97155 median
- $21.60per 15 min
- Files
- September 2026
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BCBS Minnesota vs Pennsylvania Medicaid
BCBS Minnesota publishes Pennsylvania rates for 16 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Minnesota median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.60per 15 min | $86.40 | $22.092.2% below | — | 828 providers |
All 16 BCBS Minnesota codes with a median in Pennsylvania
Frequently asked questions
What does BCBS Minnesota pay for 97155 in Pennsylvania?
The median of BCBS Minnesota's published Pennsylvania rates for 97155 is $21.60 per 15 min ($86.40 per hour), from 8 rates and 28 providers in the September 2026 files.
Does BCBS Minnesota pay more than Pennsylvania Medicaid for 97155?
BCBS Minnesota's median is 2.2% below the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does BCBS Minnesota publish rates for in Pennsylvania?
16 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Minnesota median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.