Aetna ABA reimbursement rates in Pennsylvania
Aetna pays a median of $15.55 per 15 min ($62.20 an hour) for ABA therapy by a technician (97153) in Pennsylvania, across 15 rates and 80 providers. That is 22% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $15.55per 15 min
- 97155 median
- $20.97per 15 min
- Files
- October 2026
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Aetna vs Pennsylvania Medicaid and TRICARE
Aetna pays a median of $20.97 per 15 min ($83.88 an hour) for protocol modification by the analyst (97155) in Pennsylvania, across 15 rates and 80 providers. That is 5.1% below Pennsylvania Medicaid ($22.09). Aetna pays 1.35 times as much for analyst time as for technician time in Pennsylvania. Figures come from Aetna's October 2026 price-transparency files.
| Code | Aetna median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $12.73 | — | 1580 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $22.09 | — | 1580 providers |
Every ABA code Aetna publishes in Pennsylvania
Frequently asked questions
What does Aetna pay for 97153 in Pennsylvania?
The median of Aetna's published Pennsylvania rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 15 rates and 80 providers in the October 2026 files.
What does Aetna pay for 97155 in Pennsylvania?
The median of Aetna's published Pennsylvania rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 15 rates and 80 providers in the October 2026 files.
Does Aetna pay more than Pennsylvania Medicaid for ABA?
For 97153, Aetna's median is 22% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.