Aetna reimbursement rates in South Carolina
Across 19 published rates from 119 providers, Aetna pays a median of $15.55 per 15 min for 97153 (one-on-one ABA therapy by a technician) in South Carolina. That is 4.5% above South Carolina Medicaid's fee-for-service rate of $14.88.
- Codes with a median
- 108
- 97153 median
- $15.55per 15 min
- Files
- October 2026
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Aetna vs South Carolina Medicaid
Aetna's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in South Carolina is $20.97 per 15 min, across 18 published rates from 119 providers. That is 1.3% below South Carolina Medicaid's fee-for-service rate of $21.25. Aetna publishes South Carolina rates for 108 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $14.884.5% above | — | 19119 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $21.251.3% below | — | 18119 providers |
All 108 Aetna codes with a median in South Carolina
Frequently asked questions
What does Aetna pay for 97153 in South Carolina?
The median of Aetna's published South Carolina rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 19 rates and 119 providers in the October 2026 files.
Does Aetna pay more than South Carolina Medicaid for 97153?
Aetna's median is 4.5% above the Medicaid fee-for-service rate of $14.88 per 15 min.
What does Aetna pay for 97155 in South Carolina?
The median of Aetna's published South Carolina rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 18 rates and 119 providers in the October 2026 files.
Does Aetna pay more than South Carolina 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 South Carolina?
108 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in South Carolina. The full list, with ranges and modifier tiers, is in the workspace.