BCBS Illinois ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), BCBS Illinois's median in Pennsylvania is $23.23 per 15 min, or $92.92 an hour, from 9 published rates. That is 83% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $23.23per 15 min
- 97155 median
- $36.36per 15 min
- Files
- September 2026
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BCBS Illinois vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS Illinois's median in Pennsylvania is $36.36 per 15 min, or $145.44 an hour, from 9 published rates. That is 65% above Pennsylvania Medicaid ($22.09). BCBS Illinois pays 1.57 times as much for analyst time as for technician time in Pennsylvania. Figures come from BCBS Illinois's September 2026 price-transparency 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 | $12.73 | — | 940 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.36per 15 min | $145.44 | $22.09 | — | 940 providers |
Every ABA code BCBS Illinois publishes 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.
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 ABA?
For 97153, BCBS Illinois's median is 83% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.