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UnitedHealthcare · West Virginia · October 2026

UnitedHealthcare reimbursement rates in West Virginia

Across 46 published rates from 73 providers, UnitedHealthcare pays a median of $39.41 per 15 min for 97153 (one-on-one ABA therapy by a technician) in West Virginia. That is 298% above West Virginia Medicaid's fee-for-service rate of $9.90.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
77
97153 median
$39.41per 15 min
Files
October 2026
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Headline rates

UnitedHealthcare vs West Virginia Medicaid

UnitedHealthcare's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in West Virginia is $39.41 per 15 min, across 46 published rates from 73 providers. That is 35% above West Virginia Medicaid's fee-for-service rate of $29.14. UnitedHealthcare publishes West Virginia rates for 77 of the codes we track. Figures are from the October 2026 files.

CodeUnitedHealthcare medianPer hourWest Virginia MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$39.41per 15 min$157.64$9.90298% above—4673 providers
97155ABA therapy led by the analyst (plan adjusted in session)$39.41per 15 min$157.64$29.1435% above—4673 providers
UnitedHealthcare median$39.41
West Virginia Medicaid$9.90
97153, per 15 min. October 2026 files.
Every code

All 77 UnitedHealthcare codes with a median in West Virginia

CodeMedianp25–p75vs Medicaid
See all 77 UnitedHealthcare rates in West Virginia

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FAQ

Frequently asked questions

What does UnitedHealthcare pay for 97153 in West Virginia?

The median of UnitedHealthcare's published West Virginia rates for 97153 is $39.41 per 15 min ($157.64 per hour), from 46 rates and 73 providers in the October 2026 files.

Does UnitedHealthcare pay more than West Virginia Medicaid for 97153?

UnitedHealthcare's median is 298% above the Medicaid fee-for-service rate of $9.90 per 15 min.

What does UnitedHealthcare pay for 97155 in West Virginia?

The median of UnitedHealthcare's published West Virginia rates for 97155 is $39.41 per 15 min ($157.64 per hour), from 46 rates and 73 providers in the October 2026 files.

Does UnitedHealthcare pay more than West Virginia Medicaid for 97155?

UnitedHealthcare's median is 35% above the Medicaid fee-for-service rate of $29.14 per 15 min.

How many codes does UnitedHealthcare publish rates for in West Virginia?

77 of the behavioral health, ABA, therapy, home health and other codes we track have a UnitedHealthcare median in West Virginia. The full list, with ranges and modifier tiers, is in the workspace.