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97153 · New York · every payer

What every payer pays for 97153 in New York

10 commercial payers publish New York rates for 97153 (one-on-one ABA therapy by a technician), and the median of their medians is $23.23 per 15 min. New York Medicaid's fee-for-service rate, $9.63 per 15 min, is 59% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$23.23per 15 min
New York Medicaid
$9.63
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Payer mix

97153 in New York, by payer type

New York Medicaid$9.63
Commercial (10 payers)$23.23
UnitedHealthcare$43.11
Horizon BCBS NJ$29.41
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97153 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$43.11 per 15 min$172.44255
Horizon BCBS NJCommercial$29.41 per 15 min$117.6466
See every payer's 97153 rate in New York

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97153 in New York?

The median of 10 payers' medians is $23.23 per 15 min, from 499 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97153?

New York Medicaid pays $9.63 per 15 min, 59% below the commercial median.

What does UnitedHealthcare pay for 97153 in New York?

UnitedHealthcare's median is $43.11 per 15 min, from 255 rates and 562 providers.

What does Horizon BCBS NJ pay for 97153 in New York?

Horizon BCBS NJ's median is $29.41 per 15 min, from 66 rates and 265 providers.