Ambetter (Centene) reimbursement rates in New York
For 97153 (one-on-one ABA therapy by a technician), the median of Ambetter (Centene)'s published New York rates is $19.00 per 15 min (65 rates, 43 providers). That is 97% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 34
- 97153 median
- $19.00per 15 min
- Files
- August 2026
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Ambetter (Centene) vs New York Medicaid
Across 30 published rates from 19 providers, Ambetter (Centene) pays a median of $21.83 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York. That is 13% above New York Medicaid's fee-for-service rate of $19.26. Ambetter (Centene) publishes New York rates for 34 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.00per 15 min | $76.00 | $9.6397% above | — | 6543 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.83per 15 min | $87.32 | $19.2613% above | — | 3019 providers |
All 34 Ambetter (Centene) codes with a median in New York
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in New York?
The median of Ambetter (Centene)'s published New York rates for 97153 is $19.00 per 15 min ($76.00 per hour), from 65 rates and 43 providers in the August 2026 files.
Does Ambetter (Centene) pay more than New York Medicaid for 97153?
Ambetter (Centene)'s median is 97% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does Ambetter (Centene) pay for 97155 in New York?
The median of Ambetter (Centene)'s published New York rates for 97155 is $21.83 per 15 min ($87.32 per hour), from 30 rates and 19 providers in the August 2026 files.
Does Ambetter (Centene) pay more than New York Medicaid for 97155?
Ambetter (Centene)'s median is 13% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does Ambetter (Centene) publish rates for in New York?
34 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in New York. The full list, with ranges and modifier tiers, is in the workspace.