Ambetter (Centene) ABA reimbursement rates in Massachusetts
Ambetter (Centene) pays a median of $23.67 per 15 min ($94.68 an hour) for ABA therapy by a technician (97153) in Massachusetts, across 9 rates and 24 providers. That is 45% above Massachusetts Medicaid ($16.37).
- 97153 median
- $23.67per 15 min
- 97155 median
- $22.48per 15 min
- Files
- August 2026
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Ambetter (Centene) vs Massachusetts Medicaid and TRICARE
Ambetter (Centene) pays a median of $22.48 per 15 min ($89.92 an hour) for protocol modification by the analyst (97155) in Massachusetts, across 5 rates and 10 providers. That is 27% below Massachusetts Medicaid ($30.73). Ambetter (Centene) pays 0.95 times as much for analyst time as for technician time in Massachusetts. Figures come from Ambetter (Centene)'s August 2026 price-transparency files. 23 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $23.67per 15 min | $94.68 | $16.37 | — | 924 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.48per 15 min | $89.92 | $30.73 | — | 510 providers |
Every ABA code Ambetter (Centene) publishes in Massachusetts
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in Massachusetts?
The median of Ambetter (Centene)'s published Massachusetts rates for 97153 is $23.67 per 15 min ($94.68 per hour), from 9 rates and 24 providers in the August 2026 files.
What does Ambetter (Centene) pay for 97155 in Massachusetts?
The median of Ambetter (Centene)'s published Massachusetts rates for 97155 is $22.48 per 15 min ($89.92 per hour), from 5 rates and 10 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Massachusetts Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 45% above the Massachusetts Medicaid fee-for-service rate of $16.37 per 15 min.