BCBS Massachusetts ABA reimbursement rates in New York
BCBS Massachusetts pays a median of $16.40 per 15 min ($65.60 an hour) for ABA therapy by a technician (97153) in New York, across 8 rates and 37 providers. That is 70% above New York Medicaid ($9.63).
- 97153 median
- $16.40per 15 min
- 97155 median
- $36.36per 15 min
- Files
- October 2026
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BCBS Massachusetts vs New York Medicaid and TRICARE
BCBS Massachusetts pays a median of $36.36 per 15 min ($145.44 an hour) for protocol modification by the analyst (97155) in New York, across 8 rates and 37 providers. That is 89% above New York Medicaid ($19.26). BCBS Massachusetts pays 2.22 times as much for analyst time as for technician time in New York. Figures come from BCBS Massachusetts's October 2026 price-transparency files. 4 credential or modifier tiers are broken out in the workspace.
| Code | BCBS Massachusetts median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $16.40per 15 min | $65.60 | $9.63 | — | 837 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.36per 15 min | $145.44 | $19.26 | — | 837 providers |
Every ABA code BCBS Massachusetts publishes in New York
Frequently asked questions
What does BCBS Massachusetts pay for 97153 in New York?
The median of BCBS Massachusetts's published New York rates for 97153 is $16.40 per 15 min ($65.60 per hour), from 8 rates and 37 providers in the October 2026 files.
What does BCBS Massachusetts pay for 97155 in New York?
The median of BCBS Massachusetts's published New York rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 8 rates and 37 providers in the October 2026 files.
Does BCBS Massachusetts pay more than New York Medicaid for ABA?
For 97153, BCBS Massachusetts's median is 70% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.