Ambetter (Centene) reimbursement rates in Missouri
Ambetter (Centene)'s median rate for 97153 (one-on-one ABA therapy by a technician) in Missouri is $22.65 per 15 min, across 13 published rates from 31 providers. That is 28% above Missouri Medicaid's fee-for-service rate of $17.73.
- Codes with a median
- 31
- 97153 median
- $22.65per 15 min
- Files
- August 2026
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Ambetter (Centene) vs Missouri Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Ambetter (Centene)'s published Missouri rates is $21.58 per 15 min (7 rates, 22 providers). That is 15% below Missouri Medicaid's fee-for-service rate of $25.26. Ambetter (Centene) publishes Missouri rates for 31 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | Missouri Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $22.65per 15 min | $90.60 | $17.7328% above | — | 1331 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.58per 15 min | $86.32 | $25.2615% below | — | 722 providers |
All 31 Ambetter (Centene) codes with a median in Missouri
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in Missouri?
The median of Ambetter (Centene)'s published Missouri rates for 97153 is $22.65 per 15 min ($90.60 per hour), from 13 rates and 31 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Missouri Medicaid for 97153?
Ambetter (Centene)'s median is 28% above the Medicaid fee-for-service rate of $17.73 per 15 min.
What does Ambetter (Centene) pay for 97155 in Missouri?
The median of Ambetter (Centene)'s published Missouri rates for 97155 is $21.58 per 15 min ($86.32 per hour), from 7 rates and 22 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Missouri Medicaid for 97155?
Ambetter (Centene)'s median is 15% below the Medicaid fee-for-service rate of $25.26 per 15 min.
How many codes does Ambetter (Centene) publish rates for in Missouri?
31 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in Missouri. The full list, with ranges and modifier tiers, is in the workspace.