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ABA · Aetna · Iowa

Aetna ABA reimbursement rates in Iowa

For ABA therapy by a technician (97153), Aetna's median in Iowa is $16.52 per 15 min, or $66.08 an hour, from 5 published rates. That is 42% below Iowa Medicaid ($28.59).

Updated 2026-10-08October 2026 files

97153 median
$16.52per 15 min
97155 median
$22.79per 15 min
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October 2026
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Aetna vs Iowa Medicaid and TRICARE

For protocol modification by the analyst (97155), Aetna's median in Iowa is $22.79 per 15 min, or $91.16 an hour, from 5 published rates. That is 38% below Iowa Medicaid ($36.81). Aetna pays 1.38 times as much for analyst time as for technician time in Iowa. Figures come from Aetna's October 2026 price-transparency files.

CodeAetna medianPer hourIowa MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$16.52per 15 min$66.08$28.59—58 providers
97155ABA therapy led by the analyst (plan adjusted in session)$22.79per 15 min$91.16$36.81—58 providers
Aetna$16.52
Iowa Medicaid$28.59
97153, per 15 min.
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Every ABA code Aetna publishes in Iowa

CodeMedianp25–p75vs Medicaid
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FAQ

Frequently asked questions

What does Aetna pay for 97153 in Iowa?

The median of Aetna's published Iowa rates for 97153 is $16.52 per 15 min ($66.08 per hour), from 5 rates and 8 providers in the October 2026 files.

What does Aetna pay for 97155 in Iowa?

The median of Aetna's published Iowa rates for 97155 is $22.79 per 15 min ($91.16 per hour), from 5 rates and 8 providers in the October 2026 files.

Does Aetna pay more than Iowa Medicaid for ABA?

For 97153, Aetna's median is 42% below the Iowa Medicaid fee-for-service rate of $28.59 per 15 min.