Aetna reimbursement rates in Wisconsin
Across 7 published rates from 30 providers, Aetna pays a median of $18.24 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Wisconsin. That is 13% below Wisconsin Medicaid's fee-for-service rate of $20.84.
- Codes with a median
- 89
- 97153 median
- $18.24per 15 min
- Files
- October 2026
On this page
Aetna vs Wisconsin Medicaid
Aetna's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Wisconsin is $24.60 per 15 min, across 8 published rates from 30 providers. That is 7.3% above Wisconsin Medicaid's fee-for-service rate of $22.93. Aetna publishes Wisconsin rates for 89 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $18.24per 15 min | $72.96 | $20.8413% below | — | 730 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $24.60per 15 min | $98.40 | $22.937.3% above | — | 830 providers |
All 89 Aetna codes with a median in Wisconsin
Frequently asked questions
What does Aetna pay for 97153 in Wisconsin?
The median of Aetna's published Wisconsin rates for 97153 is $18.24 per 15 min ($72.96 per hour), from 7 rates and 30 providers in the October 2026 files.
Does Aetna pay more than Wisconsin Medicaid for 97153?
Aetna's median is 13% below the Medicaid fee-for-service rate of $20.84 per 15 min.
What does Aetna pay for 97155 in Wisconsin?
The median of Aetna's published Wisconsin rates for 97155 is $24.60 per 15 min ($98.40 per hour), from 8 rates and 30 providers in the October 2026 files.
Does Aetna pay more than Wisconsin Medicaid for 97155?
Aetna's median is 7.3% above the Medicaid fee-for-service rate of $22.93 per 15 min.
How many codes does Aetna publish rates for in Wisconsin?
89 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Wisconsin. The full list, with ranges and modifier tiers, is in the workspace.