Ambetter (Centene) ABA reimbursement rates in District of Columbia
For ABA therapy by a technician (97153), Ambetter (Centene)'s median in District of Columbia is $23.00 per 15 min, or $92.00 an hour, from 11 published rates. That is 16% below District of Columbia Medicaid ($27.50).
- 97153 median
- $23.00per 15 min
- 97155 median
- $21.79per 15 min
- Files
- September 2026
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Ambetter (Centene) vs District of Columbia Medicaid and TRICARE
For protocol modification by the analyst (97155), Ambetter (Centene)'s median in District of Columbia is $21.79 per 15 min, or $87.16 an hour, from 8 published rates. That is 30% below District of Columbia Medicaid ($31.25). Ambetter (Centene) pays 0.95 times as much for analyst time as for technician time in District of Columbia. Figures come from Ambetter (Centene)'s September 2026 price-transparency files. 21 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $23.00per 15 min | $92.00 | $27.50 | — | 1119 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.79per 15 min | $87.16 | $31.25 | — | 811 providers |
Every ABA code Ambetter (Centene) publishes in District of Columbia
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in District of Columbia?
The median of Ambetter (Centene)'s published District of Columbia rates for 97153 is $23.00 per 15 min ($92.00 per hour), from 11 rates and 19 providers in the September 2026 files.
What does Ambetter (Centene) pay for 97155 in District of Columbia?
The median of Ambetter (Centene)'s published District of Columbia rates for 97155 is $21.79 per 15 min ($87.16 per hour), from 8 rates and 11 providers in the September 2026 files.
Does Ambetter (Centene) pay more than District of Columbia Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 16% below the District of Columbia Medicaid fee-for-service rate of $27.50 per 15 min.