BCBS Massachusetts reimbursement rates in New York
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Massachusetts's published New York rates is $16.40 per 15 min (8 rates, 37 providers). That is 70% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 48
- 97153 median
- $16.40per 15 min
- Files
- October 2026
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BCBS Massachusetts vs New York Medicaid
Across 8 published rates from 37 providers, BCBS Massachusetts pays a median of $36.36 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York. That is 89% above New York Medicaid's fee-for-service rate of $19.26. BCBS Massachusetts publishes New York rates for 48 of the codes we track. Figures are from the October 2026 files.
| Code | BCBS Massachusetts median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $16.40per 15 min | $65.60 | $9.6370% above | — | 837 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.36per 15 min | $145.44 | $19.2689% above | — | 837 providers |
All 48 BCBS Massachusetts codes with a median in New York
Frequently asked questions
What does BCBS Massachusetts pay for 97153 in New York?
The median of BCBS Massachusetts's published New York rates for 97153 is $16.40 per 15 min ($65.60 per hour), from 8 rates and 37 providers in the October 2026 files.
Does BCBS Massachusetts pay more than New York Medicaid for 97153?
BCBS Massachusetts's median is 70% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does BCBS Massachusetts pay for 97155 in New York?
The median of BCBS Massachusetts's published New York rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 8 rates and 37 providers in the October 2026 files.
Does BCBS Massachusetts pay more than New York Medicaid for 97155?
BCBS Massachusetts's median is 89% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does BCBS Massachusetts publish rates for in New York?
48 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Massachusetts median in New York. The full list, with ranges and modifier tiers, is in the workspace.