Ambetter (Centene) ABA reimbursement rates in South Carolina
Ambetter (Centene) pays a median of $22.97 per 15 min ($91.88 an hour) for ABA therapy by a technician (97153) in South Carolina, across 13 rates and 21 providers. That is 54% above South Carolina Medicaid ($14.88).
- 97153 median
- $22.97per 15 min
- 97155 median
- $22.56per 15 min
- Files
- August 2026
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Ambetter (Centene) vs South Carolina Medicaid and TRICARE
Ambetter (Centene) pays a median of $22.56 per 15 min ($90.24 an hour) for protocol modification by the analyst (97155) in South Carolina, across 6 rates and 8 providers. That is 6.2% above South Carolina Medicaid ($21.25). Ambetter (Centene) pays 0.98 times as much for analyst time as for technician time in South Carolina. Figures come from Ambetter (Centene)'s August 2026 price-transparency files. 22 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $22.97per 15 min | $91.88 | $14.88 | — | 1321 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.56per 15 min | $90.24 | $21.25 | — | 68 providers |
Every ABA code Ambetter (Centene) publishes in South Carolina
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in South Carolina?
The median of Ambetter (Centene)'s published South Carolina rates for 97153 is $22.97 per 15 min ($91.88 per hour), from 13 rates and 21 providers in the August 2026 files.
What does Ambetter (Centene) pay for 97155 in South Carolina?
The median of Ambetter (Centene)'s published South Carolina rates for 97155 is $22.56 per 15 min ($90.24 per hour), from 6 rates and 8 providers in the August 2026 files.
Does Ambetter (Centene) pay more than South Carolina Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 54% above the South Carolina Medicaid fee-for-service rate of $14.88 per 15 min.