Ambetter (Centene) ABA reimbursement rates in New York
For ABA therapy by a technician (97153), Ambetter (Centene)'s median in New York is $19.00 per 15 min, or $76.00 an hour, from 65 published rates. That is 97% above New York Medicaid ($9.63).
- 97153 median
- $19.00per 15 min
- 97155 median
- $21.83per 15 min
- Files
- August 2026
On this page
Ambetter (Centene) vs New York Medicaid and TRICARE
For protocol modification by the analyst (97155), Ambetter (Centene)'s median in New York is $21.83 per 15 min, or $87.32 an hour, from 30 published rates. That is 13% above New York Medicaid ($19.26). Ambetter (Centene) pays 1.15 times as much for analyst time as for technician time in New York. Figures come from Ambetter (Centene)'s August 2026 price-transparency files. 20 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.00per 15 min | $76.00 | $9.63 | — | 6543 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.83per 15 min | $87.32 | $19.26 | — | 3019 providers |
Every ABA code Ambetter (Centene) publishes in New York
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in New York?
The median of Ambetter (Centene)'s published New York rates for 97153 is $19.00 per 15 min ($76.00 per hour), from 65 rates and 43 providers in the August 2026 files.
What does Ambetter (Centene) pay for 97155 in New York?
The median of Ambetter (Centene)'s published New York rates for 97155 is $21.83 per 15 min ($87.32 per hour), from 30 rates and 19 providers in the August 2026 files.
Does Ambetter (Centene) pay more than New York Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 97% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.