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Ambetter (Centene) · Virginia · August 2026

Ambetter (Centene) reimbursement rates in Virginia

For 97153 (one-on-one ABA therapy by a technician), the median of Ambetter (Centene)'s published Virginia rates is $23.67 per 15 min (10 rates, 20 providers). That is 0.8% above Virginia Medicaid's fee-for-service rate of $23.48.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
30
97153 median
$23.67per 15 min
Files
August 2026
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Headline rates

Ambetter (Centene) vs Virginia Medicaid

Across 88 published rates from 135 providers, Ambetter (Centene) pays a median of $140.17 per session for 90837 (outpatient psychotherapy and diagnostic evaluation) in Virginia. Ambetter (Centene) publishes Virginia rates for 30 of the codes we track. Figures are from the August 2026 files.

CodeAmbetter (Centene) medianPer hourVirginia MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$23.67per 15 min$94.68$23.480.8% above—1020 providers
90837Outpatient psychotherapy and diagnostic evaluation$140.17per session———88135 providers
Ambetter (Centene) median$23.67
Virginia Medicaid$23.48
97153, per 15 min. August 2026 files.
Every code

All 30 Ambetter (Centene) codes with a median in Virginia

CodeMedianp25–p75vs Medicaid
See all 30 Ambetter (Centene) rates in Virginia

Median, p25–p75 range, n, per-hour equivalent and the gap to Medicaid and TRICARE for every code. 7-day free trial.

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FAQ

Frequently asked questions

What does Ambetter (Centene) pay for 97153 in Virginia?

The median of Ambetter (Centene)'s published Virginia rates for 97153 is $23.67 per 15 min ($94.68 per hour), from 10 rates and 20 providers in the August 2026 files.

Does Ambetter (Centene) pay more than Virginia Medicaid for 97153?

Ambetter (Centene)'s median is 0.8% above the Medicaid fee-for-service rate of $23.48 per 15 min.

What does Ambetter (Centene) pay for 90837 in Virginia?

The median of Ambetter (Centene)'s published Virginia rates for 90837 is $140.17 per session, from 88 rates and 135 providers in the August 2026 files.

How many codes does Ambetter (Centene) publish rates for in Virginia?

30 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in Virginia. The full list, with ranges and modifier tiers, is in the workspace.