Cigna reimbursement rates in Pennsylvania
Cigna's median rate for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania is $15.28 per 15 min, across 136 published rates from 450 providers. That is 20% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 128
- 97153 median
- $15.28per 15 min
- Files
- October 2026
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Cigna vs Pennsylvania Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Cigna's published Pennsylvania rates is $25.75 per 15 min (135 rates, 450 providers). That is 17% above Pennsylvania Medicaid's fee-for-service rate of $22.09. Cigna publishes Pennsylvania rates for 128 of the codes we track. Figures are from the October 2026 files.
| Code | Cigna median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.28per 15 min | $61.12 | $12.7320% above | — | 136450 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.75per 15 min | $103.00 | $22.0917% above | — | 135450 providers |
All 128 Cigna codes with a median in Pennsylvania
Frequently asked questions
What does Cigna pay for 97153 in Pennsylvania?
The median of Cigna's published Pennsylvania rates for 97153 is $15.28 per 15 min ($61.12 per hour), from 136 rates and 450 providers in the October 2026 files.
Does Cigna pay more than Pennsylvania Medicaid for 97153?
Cigna's median is 20% above the Medicaid fee-for-service rate of $12.73 per 15 min.
What does Cigna pay for 97155 in Pennsylvania?
The median of Cigna's published Pennsylvania rates for 97155 is $25.75 per 15 min ($103.00 per hour), from 135 rates and 450 providers in the October 2026 files.
Does Cigna pay more than Pennsylvania Medicaid for 97155?
Cigna's median is 17% above the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does Cigna publish rates for in Pennsylvania?
128 of the behavioral health, ABA, therapy, home health and other codes we track have a Cigna median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.