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ABA · BCBS Illinois · New York

BCBS Illinois ABA reimbursement rates in New York

For ABA therapy by a technician (97153), BCBS Illinois's median in New York is $23.23 per 15 min, or $92.92 an hour, from 8 published rates. That is 141% above New York Medicaid ($9.63).

Updated 2026-10-08September 2026 files

97153 median
$23.23per 15 min
97155 median
$36.36per 15 min
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September 2026
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BCBS Illinois vs New York Medicaid and TRICARE

For protocol modification by the analyst (97155), BCBS Illinois's median in New York is $36.36 per 15 min, or $145.44 an hour, from 7 published rates. That is 89% above New York Medicaid ($19.26). BCBS Illinois pays 1.57 times as much for analyst time as for technician time in New York. Figures come from BCBS Illinois's September 2026 price-transparency files.

CodeBCBS Illinois medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$23.23per 15 min$92.92$9.63—878 providers
97155ABA therapy led by the analyst (plan adjusted in session)$36.36per 15 min$145.44$19.26—775 providers
BCBS Illinois$23.23
New York Medicaid$9.63
97153, per 15 min.
Other ABA codes

Every ABA code BCBS Illinois publishes in New York

CodeMedianp25–p75vs Medicaid
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FAQ

Frequently asked questions

What does BCBS Illinois pay for 97153 in New York?

The median of BCBS Illinois's published New York rates for 97153 is $23.23 per 15 min ($92.92 per hour), from 8 rates and 78 providers in the September 2026 files.

What does BCBS Illinois pay for 97155 in New York?

The median of BCBS Illinois's published New York rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 7 rates and 75 providers in the September 2026 files.

Does BCBS Illinois pay more than New York Medicaid for ABA?

For 97153, BCBS Illinois's median is 141% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.