Pennsylvania Medicaid ABA Rates: 97153 and Every ABA Code \| StreamABA [ ![StreamABA](https://streamaba.com/build/assets/logo-dark-Bta4omRy.svg) ](/) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [ Log in ](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [Log in](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) ABA Medicaid rates · Pennsylvania Pennsylvania Medicaid *ABA rates.* ==================================== PA Medical Assistance FFS (MA Program Fee Schedule, PROMISe) - IBHS ABA, provider type 11 / specialty 592. Fee-for-service rates as the state publishes them, with the source and the date we last checked it. Website Work email Goto the Live Demo Rates by code What Pennsylvania Medicaid *pays.* ---------------------------------- Published. The state publishes a fee-for-service rate for these codes. Code Modifier / provider tier Unit Rate 97151 Behavior identification assessment (QHP) Behavior Consultation-ABA POS 02,03,10,11,12,27,99 listed 15 min $22.09 Behavior Analytic · Modifier U7 POS 02,03,10,11,12,27,99 listed 15 min $24.73 97152 Supporting assessment (technician) Behavioral Health Technician-ABA Base rate listed for POS 03,11,12,27,99 only 15 min $12.73 Assistant Behavior Consultation-ABA · Modifier U8 POS 02,03,10,11,12,27,99 listed 15 min $15.76 97153 Adaptive behavior treatment by protocol (technician) Behavioral Health Technician-ABA POS 02,03,10,11,12,27,99 listed 15 min $12.73 Assistant Behavior Consultation-ABA · Modifier U8 POS 02,03,10,11,12,27,99 listed 15 min $15.76 97154 Group treatment by protocol (technician) Modifier U6 Group, up to 3 members 15 min $16.63 Modifier U5 Group, 4 to 6 members 15 min $8.15 All providers Group, 7 to 12 members 15 min $5.13 97155 Treatment with protocol modification (QHP) Behavior Consultation-ABA POS 02,03,10,11,12,27,99 listed 15 min $22.09 Behavior Analytic · Modifier U7 POS 02,03,10,11,12,27,99 listed 15 min $24.73 97156 Family treatment guidance (QHP) Behavior Consultation-ABA 15 min $22.09 Behavior Analytic · Modifier U7 15 min $24.73 97157 Multiple-family group guidance (QHP) All providers No records on MA fee schedule 15 min — 97158 Group treatment with protocol modification (QHP) Modifier U6 Group, up to 3 members 15 min $16.63 Modifier U5 Group, 4 to 6 members 15 min $8.15 All providers Group, 7 to 12 members 15 min $5.13 0362T Supporting assessment for severe behavior (team) All providers No records on MA fee schedule 15 min — 0373T Treatment for severe behavior (team) All providers No records on MA fee schedule 15 min — Caveats ------- - Most ABA in this state is paid through managed care plans; plan rates may differ from these FFS rates. How we read this state's schedule --------------------------------- Fee search shows Max Fee History with a single entry since 01/17/2020 (end 12/31/2299), i.e., unchanged. Modifier meanings from 50 Pa.B. 741 (https://www.pacodeandbulletin.gov/Display/pabull?file=/secure/pabulletin/data/vol50/50-5/162.html). FQ (audio-only) rows show 'Please See Details' and price at the base rate (verified for 97153 POS 10 = $12.73). Most MA members receive IBHS/ABA through HealthChoices BH-MCOs (county managed care), which may pay differently; this is the FFS schedule. Downloadable file needs PROMISe login; search database is public behind CPT click-through. 97157, 0362T, 0373T return no records. Program PA Medical Assistance FFS (MA Program Fee Schedule, PROMISe) - IBHS ABA, provider type 11 / specialty 592 Effective date 2020-01-17 Last reviewed 2026-09-30 Source [PA DHS Outpatient Fee Schedule search (PROMISe), queried by procedure code; rates originally published in 50 Pa.B. 741 (Feb 1, 2020), 'MA Program Fee Schedule for Intensive Behavioral Health Services'](https://www.humanservices.dhs.pa.gov/OUTPATIENTFEESCHEDULE/) National median · 97153 $15.04 per 15-min unit Pennsylvania: $12.73 at the same tier. Across 40 states, at the technician tier or the single rate where a state has no tiers. [How we count](https://streamaba.com/tools/aba-medicaid-rates#methodology) [Compare every state](https://streamaba.com/tools/aba-medicaid-rates) Read this before you rely on a number ------------------------------------- - These are Pennsylvania Medicaid fee-for-service rates as published by the state. They are not commercial insurance rates and not managed care plan rates. - This page is general information, not billing, coding or legal advice. - Fee schedules change, often without notice. Verify every rate with the state Medicaid agency, or with the plan you bill, before you rely on it. - CPT is a registered trademark of the American Medical Association. Code names here are our own short descriptions. Spotted a change or an error? [Tell us](https://streamaba.com/support) and we will re-check the source. Live demo · No sales call Bill the rate you're actually owed. ------------------------------------- StreamABA keeps each payer's fee schedule, authorizations and claims in one place, so every session bills at the right rate. Get instant access to the live demo. No sales call, no meeting. 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