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97155 · New York · every payer

What every payer pays for 97155 in New York

10 commercial payers publish New York rates for 97155 (ABA therapy led by the analyst (plan adjusted in session)), and the median of their medians is $29.41 per 15 min. New York Medicaid's fee-for-service rate, $19.26 per 15 min, is 35% below that commercial median.

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

Commercial median
$29.41per 15 min
New York Medicaid
$19.26
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Payer mix

97155 in New York, by payer type

New York Medicaid$19.26
Commercial (10 payers)$29.41
UnitedHealthcare$43.11
Horizon BCBS NJ$29.41
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97155 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$43.11 per 15 min$172.44256
Horizon BCBS NJCommercial$29.41 per 15 min$117.6465
See every payer's 97155 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 97155 in New York?

The median of 10 payers' medians is $29.41 per 15 min, from 465 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97155?

New York Medicaid pays $19.26 per 15 min, 35% below the commercial median.

What does UnitedHealthcare pay for 97155 in New York?

UnitedHealthcare's median is $43.11 per 15 min, from 256 rates and 562 providers.

What does Horizon BCBS NJ pay for 97155 in New York?

Horizon BCBS NJ's median is $29.41 per 15 min, from 65 rates and 265 providers.