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ABA · BCBS Texas · New York

BCBS Texas ABA reimbursement rates in New York

For ABA therapy by a technician (97153), BCBS Texas's median in New York is $13.63 per 15 min, or $54.52 an hour, from 5 published rates. That is 42% above New York Medicaid ($9.63).

Updated 2026-10-08September 2026 files

97153 median
$13.63per 15 min
97155 median
$25.42per 15 min
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September 2026
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BCBS Texas vs New York Medicaid and TRICARE

For protocol modification by the analyst (97155), BCBS Texas's median in New York is $25.42 per 15 min, or $101.68 an hour, from 5 published rates. That is 32% above New York Medicaid ($19.26). BCBS Texas pays 1.87 times as much for analyst time as for technician time in New York. Figures come from BCBS Texas's September 2026 price-transparency files.

CodeBCBS Texas medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$13.63per 15 min$54.52$9.63—5121 providers
97155ABA therapy led by the analyst (plan adjusted in session)$25.42per 15 min$101.68$19.26—570 providers
BCBS Texas$13.63
New York Medicaid$9.63
97153, per 15 min.
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FAQ

Frequently asked questions

What does BCBS Texas pay for 97153 in New York?

The median of BCBS Texas's published New York rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 121 providers in the September 2026 files.

What does BCBS Texas pay for 97155 in New York?

The median of BCBS Texas's published New York rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 70 providers in the September 2026 files.

Does BCBS Texas pay more than New York Medicaid for ABA?

For 97153, BCBS Texas's median is 42% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.