Ambetter (Centene) reimbursement rates in Massachusetts
Across 9 published rates from 24 providers, Ambetter (Centene) pays a median of $23.67 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Massachusetts. That is 45% above Massachusetts Medicaid's fee-for-service rate of $16.37.
- Codes with a median
- 30
- 97153 median
- $23.67per 15 min
- Files
- August 2026
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Ambetter (Centene) vs Massachusetts Medicaid
Ambetter (Centene)'s median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Massachusetts is $22.48 per 15 min, across 5 published rates from 10 providers. That is 27% below Massachusetts Medicaid's fee-for-service rate of $30.73. Ambetter (Centene) publishes Massachusetts rates for 30 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $23.67per 15 min | $94.68 | $16.3745% above | — | 924 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.48per 15 min | $89.92 | $30.7327% below | — | 510 providers |
All 30 Ambetter (Centene) codes with a median in Massachusetts
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in Massachusetts?
The median of Ambetter (Centene)'s published Massachusetts rates for 97153 is $23.67 per 15 min ($94.68 per hour), from 9 rates and 24 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Massachusetts Medicaid for 97153?
Ambetter (Centene)'s median is 45% above the Medicaid fee-for-service rate of $16.37 per 15 min.
What does Ambetter (Centene) pay for 97155 in Massachusetts?
The median of Ambetter (Centene)'s published Massachusetts rates for 97155 is $22.48 per 15 min ($89.92 per hour), from 5 rates and 10 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Massachusetts Medicaid for 97155?
Ambetter (Centene)'s median is 27% below the Medicaid fee-for-service rate of $30.73 per 15 min.
How many codes does Ambetter (Centene) publish rates for in Massachusetts?
30 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in Massachusetts. The full list, with ranges and modifier tiers, is in the workspace.