Aetna reimbursement rates in Utah
For 97153 (one-on-one ABA therapy by a technician), the median of Aetna's published Utah rates is $18.24 per 15 min (13 rates, 41 providers). That is 7.3% below Utah Medicaid's fee-for-service rate of $19.67.
- Codes with a median
- 96
- 97153 median
- $18.24per 15 min
- Files
- October 2026
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Aetna vs Utah Medicaid
Across 14 published rates from 41 providers, Aetna pays a median of $24.60 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Utah. That is 34% below Utah Medicaid's fee-for-service rate of $37.51. Aetna publishes Utah rates for 96 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Utah Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $18.24per 15 min | $72.96 | $19.677.3% below | — | 1341 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $24.60per 15 min | $98.40 | $37.5134% below | — | 1441 providers |
All 96 Aetna codes with a median in Utah
Frequently asked questions
What does Aetna pay for 97153 in Utah?
The median of Aetna's published Utah rates for 97153 is $18.24 per 15 min ($72.96 per hour), from 13 rates and 41 providers in the October 2026 files.
Does Aetna pay more than Utah Medicaid for 97153?
Aetna's median is 7.3% below the Medicaid fee-for-service rate of $19.67 per 15 min.
What does Aetna pay for 97155 in Utah?
The median of Aetna's published Utah rates for 97155 is $24.60 per 15 min ($98.40 per hour), from 14 rates and 41 providers in the October 2026 files.
Does Aetna pay more than Utah Medicaid for 97155?
Aetna's median is 34% below the Medicaid fee-for-service rate of $37.51 per 15 min.
How many codes does Aetna publish rates for in Utah?
96 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Utah. The full list, with ranges and modifier tiers, is in the workspace.