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Florida Blue · New York · September 2026

Florida Blue reimbursement rates in New York

Across 6 published rates from 11 providers, Florida Blue pays a median of $28.57 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New York. That is 197% above New York Medicaid's fee-for-service rate of $9.63.

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

Codes with a median
45
97153 median
$28.57per 15 min
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September 2026
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Headline rates

Florida Blue vs New York Medicaid

Florida Blue's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York is $27.37 per 15 min, across 6 published rates from 11 providers. That is 42% above New York Medicaid's fee-for-service rate of $19.26. Florida Blue publishes New York rates for 45 of the codes we track. Figures are from the September 2026 files.

CodeFlorida Blue medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$28.57per 15 min$114.28$9.63197% above—611 providers
97155ABA therapy led by the analyst (plan adjusted in session)$27.37per 15 min$109.48$19.2642% above—611 providers
Florida Blue median$28.57
New York Medicaid$9.63
97153, per 15 min. September 2026 files.
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All 45 Florida Blue codes with a median in New York

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FAQ

Frequently asked questions

What does Florida Blue pay for 97153 in New York?

The median of Florida Blue's published New York rates for 97153 is $28.57 per 15 min ($114.28 per hour), from 6 rates and 11 providers in the September 2026 files.

Does Florida Blue pay more than New York Medicaid for 97153?

Florida Blue's median is 197% above the Medicaid fee-for-service rate of $9.63 per 15 min.

What does Florida Blue pay for 97155 in New York?

The median of Florida Blue's published New York rates for 97155 is $27.37 per 15 min ($109.48 per hour), from 6 rates and 11 providers in the September 2026 files.

Does Florida Blue pay more than New York Medicaid for 97155?

Florida Blue's median is 42% above the Medicaid fee-for-service rate of $19.26 per 15 min.

How many codes does Florida Blue publish rates for in New York?

45 of the behavioral health, ABA, therapy, home health and other codes we track have a Florida Blue median in New York. The full list, with ranges and modifier tiers, is in the workspace.