UnitedHealthcare reimbursement rates in New York
UnitedHealthcare's median rate for 97153 (one-on-one ABA therapy by a technician) in New York is $43.11 per 15 min, across 255 published rates from 562 providers. That is 348% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 83
- 97153 median
- $43.11per 15 min
- Files
- October 2026
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UnitedHealthcare vs New York Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of UnitedHealthcare's published New York rates is $43.11 per 15 min (256 rates, 562 providers). That is 124% above New York Medicaid's fee-for-service rate of $19.26. UnitedHealthcare publishes New York rates for 83 of the codes we track. Figures are from the October 2026 files.
| Code | UnitedHealthcare median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $43.11per 15 min | $172.44 | $9.63348% above | — | 255562 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $43.11per 15 min | $172.44 | $19.26124% above | — | 256562 providers |
All 83 UnitedHealthcare codes with a median in New York
Frequently asked questions
What does UnitedHealthcare pay for 97153 in New York?
The median of UnitedHealthcare's published New York rates for 97153 is $43.11 per 15 min ($172.44 per hour), from 255 rates and 562 providers in the October 2026 files.
Does UnitedHealthcare pay more than New York Medicaid for 97153?
UnitedHealthcare's median is 348% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does UnitedHealthcare pay for 97155 in New York?
The median of UnitedHealthcare's published New York rates for 97155 is $43.11 per 15 min ($172.44 per hour), from 256 rates and 562 providers in the October 2026 files.
Does UnitedHealthcare pay more than New York Medicaid for 97155?
UnitedHealthcare's median is 124% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does UnitedHealthcare publish rates for in New York?
83 of the behavioral health, ABA, therapy, home health and other codes we track have a UnitedHealthcare median in New York. The full list, with ranges and modifier tiers, is in the workspace.