BCBS Texas ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), BCBS Texas's median in Pennsylvania is $13.63 per 15 min, or $54.52 an hour, from 5 published rates. That is 7.1% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $13.63per 15 min
- 97155 median
- $25.42per 15 min
- Files
- September 2026
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BCBS Texas vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS Texas's median in Pennsylvania is $25.42 per 15 min, or $101.68 an hour, from 5 published rates. That is 15% above Pennsylvania Medicaid ($22.09). BCBS Texas pays 1.87 times as much for analyst time as for technician time in Pennsylvania. Figures come from BCBS Texas's September 2026 price-transparency files.
| Code | BCBS Texas median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $13.63per 15 min | $54.52 | $12.73 | — | 570 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.42per 15 min | $101.68 | $22.09 | — | 542 providers |
Every ABA code BCBS Texas publishes in Pennsylvania
Frequently asked questions
What does BCBS Texas pay for 97153 in Pennsylvania?
The median of BCBS Texas's published Pennsylvania rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 70 providers in the September 2026 files.
What does BCBS Texas pay for 97155 in Pennsylvania?
The median of BCBS Texas's published Pennsylvania rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 42 providers in the September 2026 files.
Does BCBS Texas pay more than Pennsylvania Medicaid for ABA?
For 97153, BCBS Texas's median is 7.1% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.