97153 Medicaid reimbursement rates by state
One-on-one ABA therapy by a technician. 19 state Medicaid programs publish a fee-for-service rate for 97153 at the technician level. Rates run from $9.63 in New York to $30.91 in Georgia, with a median of $16.37.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $16.37units vary by state
- Highest
- $30.91Georgia
- Medicare (non-facility)
- —not on the physician fee schedule
97153 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 |
|---|---|---|---|---|---|---|
| GeorgiaBehavior technician (RBT / BT) · Georgia Medicaid (fee-for-service) | $30.91since 2025-07-01 | 15 min | $123.64 | Plans negotiate; applies out of network | — | Georgia Medicaid Autism Spectrum Disorde |
| VirginiaBehavior technician (RBT / BT) · Virginia Medicaid (fee-for-service, DMAS) | $23.48since 2021-12-01 | 15 min | $93.92 | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| MarylandBehavior technician (RBT / BT) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $20.91since 2024-07-01 | 15 min | $83.64 | Paid by the state, outside plans | — | ABA Fee Schedule FY25 |
| WisconsinBehavior technician (RBT / BT) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $20.84since 2023-02-01 | 15 min | $83.36 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Behavior |
| North CarolinaBehavior technician (RBT / BT) · North Carolina Medicaid Direct (fee-for-service) | $20.81since 2025-10-01 | 15 min | $83.24 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'LCSW LCMHC LMF |
| MinnesotaBehavior technician (RBT / BT) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $20.17since 2024-01-01 | 15 min | $80.68 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| NebraskaBehavior technician (RBT / BT) · Nebraska Medicaid (fee-for-service) | $18.70since 2026-07-01 | 15 min | $74.80 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| ArizonaBehavior technician (RBT / BT) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $17.91since 2026-10-01 | 15 min | $71.64 | Plans negotiate; applies out of network | — | AHCCCS FFS Program Capped Fee Schedule: |
| ColoradoBehavior technician (RBT / BT) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $17.20since 2025-10-01 | 15 min | $68.80 | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2025 - 2026 Fe |
| MissouriBehavior technician (RBT / BT) · Missouri MO HealthNet (fee-for-service) | $16.37since 2024-07-01 | 15 min | $65.48 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Applied Behav |
| MassachusettsBehavior technician (RBT / BT) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $16.37since 2024-10-01 | 15 min | $65.48 | Plans must pay at least this | — | Rates for Applied Behavior Analysis (eff |
| IndianaBehavior technician (RBT / BT) · Indiana Medicaid (fee-for-service) | $16.04since 2026-04-01 | 15 min | $64.16 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New JerseyBehavior technician (RBT / BT) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $15.00since 2025-01-01 | 15 min | $60.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| TexasBehavior technician (RBT / BT) · Texas Medicaid (fee-for-service, TMHP) | $14.50since 2025-09-01 | 15 min | $58.00 | Plans must pass increases through | — | TMHP Texas Medicaid Fee Schedule - Autis |
| IllinoisBehavior technician (RBT / BT) · Illinois Medicaid (HFS fee-for-service) | $13.00since 2022-01-15 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Adaptive Behavior Support (ABS) Serv |
| PennsylvaniaBehavior technician (RBT / BT) · Pennsylvania Medical Assistance (fee-for-service) | $12.73since 2021-09-30 | 15 min | $50.92 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| WashingtonBehavior technician (RBT / BT) · Washington Apple Health (Medicaid) fee-for-service | $12.40since 2026-01-01 | 15 minute units | $49.60 | Plans must pay at least this | — | HCA ABA fee schedule (aba-20260101.xlsx) |
| FloridaBehavior technician (RBT / BT) · Florida Medicaid (fee-for-service) | $12.26since 2026-01-01 | 15 min | $49.04 | Plans negotiate; applies out of network | — | Behavior Analysis Fee Schedule (Updated |
| New YorkBehavior technician (RBT / BT) · New York Medicaid (fee-for-service) | $9.63since 2026-10-01 | 15 min | $38.52 | Not classified | — | eMedNY NYS Medicaid Applied Behavior Ana |
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 97153?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $16.37. Georgia pays the most ($30.91 per 15 min) and New York the least ($9.63 per 15 min).
Which state pays the highest Medicaid rate for 97153?
Georgia, at $30.91 per 15 min ($123.64 per hour), effective 2025-07-01.
Do managed-care plans pay the same rate for 97153?
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.
Related ABA / autism services codes
97151Behavior assessment and treatment plan by the analyst · 19 states97154Group ABA therapy by a technician · 19 states97155ABA therapy led by the analyst (plan adjusted in session) · 19 states97156ABA parent or caregiver training by the analyst · 18 states97158Group ABA therapy led by the analyst · 16 states97152Behavior assessment help from one technician · 14 states97157ABA parent or caregiver training for several families · 13 states0373TABA therapy with two or more technicians on site · 11 states0362TBehavior assessment help from two or more technicians · 9 statesT1027Family training and counseling for child development · 8 states
Track 97153 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.