Ambetter (Centene) reimbursement rates in Texas
For 97153 (one-on-one ABA therapy by a technician), the median of Ambetter (Centene)'s published Texas rates is $28.14 per 15 min (17 rates, 377 providers). That is 94% above Texas Medicaid's fee-for-service rate of $14.50.
- Codes with a median
- 36
- 97153 median
- $28.14per 15 min
- Files
- August 2026
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Ambetter (Centene) vs Texas Medicaid
Across 8 published rates from 33 providers, Ambetter (Centene) pays a median of $22.48 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Texas. That is 10% below Texas Medicaid's fee-for-service rate of $25.10. Ambetter (Centene) publishes Texas rates for 36 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $28.14per 15 min | $112.56 | $14.5094% above | — | 17377 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.48per 15 min | $89.92 | $25.1010% below | — | 833 providers |
All 36 Ambetter (Centene) codes with a median in Texas
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in Texas?
The median of Ambetter (Centene)'s published Texas rates for 97153 is $28.14 per 15 min ($112.56 per hour), from 17 rates and 377 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Texas Medicaid for 97153?
Ambetter (Centene)'s median is 94% above the Medicaid fee-for-service rate of $14.50 per 15 min.
What does Ambetter (Centene) pay for 97155 in Texas?
The median of Ambetter (Centene)'s published Texas rates for 97155 is $22.48 per 15 min ($89.92 per hour), from 8 rates and 33 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Texas Medicaid for 97155?
Ambetter (Centene)'s median is 10% below the Medicaid fee-for-service rate of $25.10 per 15 min.
How many codes does Ambetter (Centene) publish rates for in Texas?
36 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in Texas. The full list, with ranges and modifier tiers, is in the workspace.