97154 Medicaid reimbursement rates by state
Group ABA therapy by a technician. 19 state Medicaid programs publish a fee-for-service rate for 97154 at the technician level. Rates run from $1.63 in Texas to $30.91 in Georgia, with a median of $6.72.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- Median rate
- $6.72units vary by state
- Highest
- $30.91Georgia
- Medicare (non-facility)
- —not on the physician fee schedule
97154 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) | $30.91⚠ over 3× mediansince 2025-07-01 | 15 min | $123.64 | Plans negotiate; applies out of network | — | Georgia Medicaid Autism Spectrum Disorde |
| MassachusettsBehavior technician (RBT / BT) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $13.91since 2024-10-01 | 15 min | $55.64 | Plans must pay at least this | — | Rates for Applied Behavior Analysis (eff |
| VirginiaBehavior technician (RBT / BT) · Virginia Medicaid (fee-for-service, DMAS) | $13.13since 2021-12-01 | 15 min | $52.52 | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| WashingtonBehavior technician (RBT / BT) · Washington Apple Health (Medicaid) fee-for-service | $12.40since 2026-01-01 | 15 minute unit | $49.60 | Plans must pay at least this | — | HCA ABA fee schedule (aba-20260701.xlsx) |
| North CarolinaBehavior technician (RBT / BT) · North Carolina Medicaid Direct (fee-for-service) | $11.37since 2025-10-01 | 15 min | $45.48 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'LCSW LCMHC LMF |
| ColoradoBehavior technician (RBT / BT) · Health First Colorado (Colorado Medicaid, fee-for-service) | $8.81since 2025-10-01 | 15 min | $35.24 | Not classified | — | Health First Colorado Physician Fee Sche |
| MarylandBehavior technician (RBT / BT) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $8.36since 2024-07-01 | 15 min | $33.44 | Paid by the state, outside plans | — | ABA Fee Schedule FY25 |
| PennsylvaniaBehavior technician (RBT / BT) · Pennsylvania Medical Assistance (fee-for-service) | $8.15since 2022-07-01 | 15 min | $32.60 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| NebraskaBehavior technician (RBT / BT) · Nebraska Medicaid (fee-for-service) | $7.49since 2026-07-01 | 15 min | $29.96 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| MinnesotaBehavior technician (RBT / BT) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $6.72since 2024-01-01 | 15 min | $26.88 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| FloridaBehavior technician (RBT / BT) · Florida Medicaid (fee-for-service) | $6.58since 2026-01-01 | 15 min | $26.32 | Plans negotiate; applies out of network | — | Behavior Analysis Fee Schedule (Updated |
| WisconsinBehavior technician (RBT / BT) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $6.39since 2022-12-01 | 15 min | $25.56 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Behavior |
| IndianaBehavior technician (RBT / BT) · Indiana Medicaid (fee-for-service) | $6.14since 2026-10-01 | 15 min | $24.56 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| IllinoisBehavior technician (RBT / BT) · Illinois Medicaid (HFS fee-for-service) | $5.72since 2022-01-15 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Adaptive Behavior Support (ABS) Serv |
| ArizonaBehavior technician (RBT / BT) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $4.99since 2026-10-01 | 15 min | $19.96 | Plans negotiate; applies out of network | — | AHCCCS FFS Program Capped Fee Schedule: |
| New JerseyBehavior technician (RBT / BT) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $4.80since 2025-01-01 | 15 min | $19.20 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| New YorkBehavior technician (RBT / BT) · New York Medicaid (fee-for-service) | $3.31since 2023-04-01 | 15 min | $13.24 | Not classified | — | eMedNY NYS Medicaid Applied Behavior Ana |
| MissouriBehavior technician (RBT / BT) · Missouri MO HealthNet (fee-for-service) | $2.05since 2025-05-01 | 15 min | $8.20 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Applied Behav |
| TexasBehavior technician (RBT / BT) · Texas Medicaid (fee-for-service, TMHP) | $1.63since 2024-03-01 | 15 min | $6.52 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Autis |
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 97154?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $6.72. Georgia pays the most ($30.91 per 15 min) and Texas the least ($1.63 per 15 min).
Which state pays the highest Medicaid rate for 97154?
Georgia, at $30.91 per 15 min ($123.64 per hour), effective 2025-07-01.
Do managed-care plans pay the same rate for 97154?
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.