97151 Medicaid reimbursement rates by state
Behavior assessment and treatment plan by the analyst. 31 state Medicaid programs publish a fee-for-service rate for 97151 at the analyst level. Rates run from $7.50 in Louisiana to $112.65 in New Mexico, with a median of $25.97.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 31
- Median rate
- $25.97units vary by state
- Highest
- $112.65New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
97151 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New MexicoBehavior analyst (BCBA / licensed behavior analyst) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $112.65⚠ over 3× mediansince 2025-01-01 | 15 min | $450.60 | Plans must pay at least this | — | Updated: Applied Behavior Analysis (ABA) |
| MinnesotaBehavior analyst (BCBA / licensed behavior analyst) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $50.11since 2024-01-01 | 15 min | $200.44 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| KansasBehavior analyst (BCBA / licensed behavior analyst) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $43.75since 2019-04-01 | 15 min | $175.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MississippiBehavior analyst (BCBA / licensed behavior analyst) · Mississippi Medicaid (fee-for-service) | $42.83since 2025-07-01 | 15 min | $171.32 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, July 202 |
| GeorgiaBehavior analyst (BCBA / licensed behavior analyst) · Georgia Medicaid (fee-for-service) | $40.14since 2025-07-01 | 15 min | $160.56 | Plans negotiate; applies out of network | — | Georgia Medicaid Autism Spectrum Disorde |
| ColoradoBehavior analyst (BCBA / licensed behavior analyst) · Health First Colorado (Colorado Medicaid, fee-for-service) | $39.61since 2025-10-01 | 15 min | $158.44 | Not classified | — | Health First Colorado Physician Fee Sche |
| VirginiaBehavior analyst (BCBA / licensed behavior analyst) · Virginia Medicaid (fee-for-service, DMAS) | $39.40since 2021-12-01 | 15 min | $157.60 | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| MarylandBehavior analyst (BCBA / licensed behavior analyst) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $38.34since 2024-07-01 | 15 min | $153.36 | Paid by the state, outside plans | — | ABA Fee Schedule FY25 |
| NebraskaBehavior analyst (BCBA / licensed behavior analyst) · Nebraska Medicaid (fee-for-service) | $38.16since 2026-07-01 | 15 min | $152.64 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| IowaBehavior analyst (BCBA / licensed behavior analyst) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $35.73since 2024-07-01 | 15 min | $142.92 | Plans must pay at least this | — | Iowa Medicaid fee schedule #62 BEHAVIORA |
| ArizonaBehavior analyst (BCBA / licensed behavior analyst) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $33.27since 2026-10-01 | 15 min | $133.08 | Plans negotiate; applies out of network | — | AHCCCS FFS Program Capped Fee Schedule: |
| MassachusettsBehavior analyst (BCBA / licensed behavior analyst) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $30.73since 2024-10-01 | 15 min | $122.92 | Plans must pay at least this | — | Rates for Applied Behavior Analysis (eff |
| North CarolinaBehavior analyst (BCBA / licensed behavior analyst) · North Carolina Medicaid Direct (fee-for-service) | $30.56since 2025-10-01 | 15 min | $122.24 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'LCSW LCMHC LMF |
| NevadaBehavior analyst (BCBA / licensed behavior analyst) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $29.14since 2023-07-01 | 15 min | $116.56 | Paid by the state, outside plans | — | Provider Type 60 School Based (rate data |
| TexasBehavior analyst (BCBA / licensed behavior analyst) · Texas Medicaid (fee-for-service, TMHP) | $27.56since 2025-09-01 | 15 min | $110.24 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Autis |
| IndianaBehavior analyst (BCBA / licensed behavior analyst) · Indiana Medicaid (fee-for-service) | $25.97since 2026-04-01 | 15 min | $103.88 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| WisconsinBehavior analyst (BCBA / licensed behavior analyst) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $25.90since 2023-02-01 | 15 min | $103.60 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Behavior |
| MissouriBehavior analyst (BCBA / licensed behavior analyst) · Missouri MO HealthNet (fee-for-service) | $25.26since 2022-07-01 | 15 min | $101.04 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Applied Behav |
| New JerseyBehavior analyst (BCBA / licensed behavior analyst) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $25.00since 2025-01-01 | 15 min | $100.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| AlabamaBehavior analyst (BCBA / licensed behavior analyst) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $25.00since 2026-02-05 | 15 min | $100.00 | Not classified | — | Applied Behavior Analysis (ABA) Fee Sche |
| OklahomaBehavior analyst (BCBA / licensed behavior analyst) · Oklahoma SoonerCare (fee-for-service, OHCA) | $23.55since 2020-01-15 | 15 min | $94.20 | Plans must pay at least this | — | OHCA 'Applied Behavioral Analysis CPT Co |
| South CarolinaBehavior analyst (BCBA / licensed behavior analyst) · South Carolina Healthy Connections Medicaid (fee-for-service) | $23.51since 2026-08-13 | 15 min | $94.04 | Not classified | — | SCDHHS ASD Services Fee Schedule |
| PennsylvaniaBehavior analyst (BCBA / licensed behavior analyst) · Pennsylvania Medical Assistance (fee-for-service) | $22.09since 2021-09-30 | 15 min | $88.36 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| KentuckyBehavior analyst (BCBA / licensed behavior analyst) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $21.59since 2020-01-01 | 15 min | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| OregonBehavior analyst (BCBA / licensed behavior analyst) · Oregon Health Plan (fee-for-service, OHA) | $20.85since 2024-07-01 | 15 min | $83.40 | Plans expected to pay at least this | — | OHP FFS behavioral health fee schedule ( |
| IllinoisBehavior analyst (BCBA / licensed behavior analyst) · Illinois Medicaid (HFS fee-for-service) | $20.39since 2022-01-15 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Adaptive Behavior Support (ABS) Serv |
| ArkansasBehavior analyst (BCBA / licensed behavior analyst) · Arkansas Medicaid (fee-for-service) | $20.00since 2025-01-01 | 15 min | $80.00 | Not classified | — | Arkansas Medicaid Applied Behavior Analy |
| New YorkBehavior analyst (BCBA / licensed behavior analyst) · New York Medicaid (fee-for-service) | $19.26since 2022-04-01 | 15 min | $77.04 | Not classified | — | eMedNY NYS Medicaid Applied Behavior Ana |
| FloridaBehavior analyst (BCBA / licensed behavior analyst) · Florida Medicaid (fee-for-service) | $19.05since 2026-01-01 | 15 min | $76.20 | Plans negotiate; applies out of network | — | Behavior Analysis Fee Schedule (Updated |
| WashingtonBehavior analyst (BCBA / licensed behavior analyst) · Washington Apple Health (Medicaid) fee-for-service | $18.79since 2026-01-01 | 15 min. units | $75.16 | Plans must pay at least this | — | HCA ABA fee schedule (aba-20260101.xlsx) |
| LouisianaBehavior analyst (BCBA / licensed behavior analyst) · Louisiana Medicaid (fee-for-service) | $7.50since 2019-03-20 | 15 min | $30.00 | Plans must pay at least this | — | Louisiana Medicaid EPSDT Health Services |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 97151?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $25.97. New Mexico pays the most ($112.65 per 15 min) and Louisiana the least ($7.50 per 15 min).
Which state pays the highest Medicaid rate for 97151?
New Mexico, at $112.65 per 15 min ($450.60 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for 97151?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
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Track 97151 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.