BCBS Texas reimbursement rates in Pennsylvania
Across 5 published rates from 70 providers, BCBS Texas pays a median of $13.63 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania. That is 7.1% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 65
- 97153 median
- $13.63per 15 min
- Files
- September 2026
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BCBS Texas vs Pennsylvania Medicaid
BCBS Texas's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Pennsylvania is $25.42 per 15 min, across 5 published rates from 42 providers. That is 15% above Pennsylvania Medicaid's fee-for-service rate of $22.09. BCBS Texas publishes Pennsylvania rates for 65 of the codes we track. Figures are from the September 2026 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 | $12.737.1% above | — | 570 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.42per 15 min | $101.68 | $22.0915% above | — | 542 providers |
All 65 BCBS Texas codes with a median 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.
Does BCBS Texas pay more than Pennsylvania Medicaid for 97153?
BCBS Texas's median is 7.1% above the Medicaid fee-for-service rate of $12.73 per 15 min.
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 97155?
BCBS Texas's median is 15% above the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does BCBS Texas publish rates for in Pennsylvania?
65 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Texas median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.