Aetna reimbursement rates in Massachusetts
Across 20 published rates from 81 providers, Aetna pays a median of $18.10 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Massachusetts. That is 11% above Massachusetts Medicaid's fee-for-service rate of $16.37.
- Codes with a median
- 95
- 97153 median
- $18.10per 15 min
- Files
- October 2026
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Aetna vs Massachusetts Medicaid
Aetna's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Massachusetts is $24.60 per 15 min, across 21 published rates from 81 providers. That is 20% below Massachusetts Medicaid's fee-for-service rate of $30.73. Aetna publishes Massachusetts rates for 95 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $18.10per 15 min | $72.40 | $16.3711% above | — | 2081 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $24.60per 15 min | $98.40 | $30.7320% below | — | 2181 providers |
All 95 Aetna codes with a median in Massachusetts
Frequently asked questions
What does Aetna pay for 97153 in Massachusetts?
The median of Aetna's published Massachusetts rates for 97153 is $18.10 per 15 min ($72.40 per hour), from 20 rates and 81 providers in the October 2026 files.
Does Aetna pay more than Massachusetts Medicaid for 97153?
Aetna's median is 11% above the Medicaid fee-for-service rate of $16.37 per 15 min.
What does Aetna pay for 97155 in Massachusetts?
The median of Aetna's published Massachusetts rates for 97155 is $24.60 per 15 min ($98.40 per hour), from 21 rates and 81 providers in the October 2026 files.
Does Aetna pay more than Massachusetts Medicaid for 97155?
Aetna's median is 20% below the Medicaid fee-for-service rate of $30.73 per 15 min.
How many codes does Aetna publish rates for in Massachusetts?
95 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Massachusetts. The full list, with ranges and modifier tiers, is in the workspace.