Aetna reimbursement rates in New Jersey
Across 20 published rates from 100 providers, Aetna pays a median of $15.55 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New Jersey. That is 39% above New Jersey Medicaid's fee-for-service rate of $11.20.
- Codes with a median
- 135
- 97153 median
- $15.55per 15 min
- Files
- October 2026
On this page
Aetna vs New Jersey Medicaid
Aetna's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New Jersey is $20.97 per 15 min, across 23 published rates from 100 providers. That is 1.3% below New Jersey Medicaid's fee-for-service rate of $21.25. Aetna publishes New Jersey rates for 135 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | New Jersey Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $11.2039% above | — | 20100 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $21.251.3% below | — | 23100 providers |
All 135 Aetna codes with a median in New Jersey
Frequently asked questions
What does Aetna pay for 97153 in New Jersey?
The median of Aetna's published New Jersey rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 20 rates and 100 providers in the October 2026 files.
Does Aetna pay more than New Jersey Medicaid for 97153?
Aetna's median is 39% above the Medicaid fee-for-service rate of $11.20 per 15 min.
What does Aetna pay for 97155 in New Jersey?
The median of Aetna's published New Jersey rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 23 rates and 100 providers in the October 2026 files.
Does Aetna pay more than New Jersey Medicaid for 97155?
Aetna's median is 1.3% below the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does Aetna publish rates for in New Jersey?
135 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in New Jersey. The full list, with ranges and modifier tiers, is in the workspace.