UnitedHealthcare reimbursement rates in Pennsylvania
Across 197 published rates from 374 providers, UnitedHealthcare pays a median of $36.42 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania. That is 186% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 90
- 97153 median
- $36.42per 15 min
- Files
- October 2026
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UnitedHealthcare vs Pennsylvania Medicaid
UnitedHealthcare's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Pennsylvania is $36.21 per 15 min, across 198 published rates from 374 providers. That is 64% above Pennsylvania Medicaid's fee-for-service rate of $22.09. UnitedHealthcare publishes Pennsylvania rates for 90 of the codes we track. Figures are from the October 2026 files.
| Code | UnitedHealthcare median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $36.42per 15 min | $145.68 | $12.73186% above | — | 197374 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.21per 15 min | $144.84 | $22.0964% above | — | 198374 providers |
All 90 UnitedHealthcare codes with a median in Pennsylvania
Frequently asked questions
What does UnitedHealthcare pay for 97153 in Pennsylvania?
The median of UnitedHealthcare's published Pennsylvania rates for 97153 is $36.42 per 15 min ($145.68 per hour), from 197 rates and 374 providers in the October 2026 files.
Does UnitedHealthcare pay more than Pennsylvania Medicaid for 97153?
UnitedHealthcare's median is 186% above the Medicaid fee-for-service rate of $12.73 per 15 min.
What does UnitedHealthcare pay for 97155 in Pennsylvania?
The median of UnitedHealthcare's published Pennsylvania rates for 97155 is $36.21 per 15 min ($144.84 per hour), from 198 rates and 374 providers in the October 2026 files.
Does UnitedHealthcare pay more than Pennsylvania Medicaid for 97155?
UnitedHealthcare's median is 64% above the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does UnitedHealthcare publish rates for in Pennsylvania?
90 of the behavioral health, ABA, therapy, home health and other codes we track have a UnitedHealthcare median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.