Aetna reimbursement rates in Missouri
For 97153 (one-on-one ABA therapy by a technician), the median of Aetna's published Missouri rates is $15.78 per 15 min (10 rates, 26 providers). That is 11% below Missouri Medicaid's fee-for-service rate of $17.73.
- Codes with a median
- 100
- 97153 median
- $15.78per 15 min
- Files
- October 2026
On this page
Aetna vs Missouri Medicaid
Across 12 published rates from 26 providers, Aetna pays a median of $20.97 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Missouri. That is 17% below Missouri Medicaid's fee-for-service rate of $25.26. Aetna publishes Missouri rates for 100 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Missouri Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.78per 15 min | $63.12 | $17.7311% below | — | 1026 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $25.2617% below | — | 1226 providers |
All 100 Aetna codes with a median in Missouri
Frequently asked questions
What does Aetna pay for 97153 in Missouri?
The median of Aetna's published Missouri rates for 97153 is $15.78 per 15 min ($63.12 per hour), from 10 rates and 26 providers in the October 2026 files.
Does Aetna pay more than Missouri Medicaid for 97153?
Aetna's median is 11% below the Medicaid fee-for-service rate of $17.73 per 15 min.
What does Aetna pay for 97155 in Missouri?
The median of Aetna's published Missouri rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 12 rates and 26 providers in the October 2026 files.
Does Aetna pay more than Missouri Medicaid for 97155?
Aetna's median is 17% below the Medicaid fee-for-service rate of $25.26 per 15 min.
How many codes does Aetna publish rates for in Missouri?
100 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Missouri. The full list, with ranges and modifier tiers, is in the workspace.