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ABA · BCBS Michigan · New York

BCBS Michigan ABA reimbursement rates in New York

BCBS Michigan pays a median of $14.50 per 15 min ($58.00 an hour) for ABA therapy by a technician (97153) in New York, across 152 rates and 747 providers. That is 51% above New York Medicaid ($9.63).

Updated 2026-10-09October 2026 files

97153 median
$14.50per 15 min
97155 median
$21.88per 15 min
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October 2026
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BCBS Michigan vs New York Medicaid and TRICARE

BCBS Michigan pays a median of $21.88 per 15 min ($87.52 an hour) for protocol modification by the analyst (97155) in New York, across 135 rates and 726 providers. That is 14% above New York Medicaid ($19.26). BCBS Michigan pays 1.51 times as much for analyst time as for technician time in New York. Figures come from BCBS Michigan's October 2026 price-transparency files. 10 credential or modifier tiers are broken out in the workspace.

CodeBCBS Michigan medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$14.50per 15 min$58.00$9.63—152747 providers
97155ABA therapy led by the analyst (plan adjusted in session)$21.88per 15 min$87.52$19.26—135726 providers
BCBS Michigan$14.50
New York Medicaid$9.63
97153, per 15 min.
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FAQ

Frequently asked questions

What does BCBS Michigan pay for 97153 in New York?

The median of BCBS Michigan's published New York rates for 97153 is $14.50 per 15 min ($58.00 per hour), from 152 rates and 747 providers in the October 2026 files.

What does BCBS Michigan pay for 97155 in New York?

The median of BCBS Michigan's published New York rates for 97155 is $21.88 per 15 min ($87.52 per hour), from 135 rates and 726 providers in the October 2026 files.

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

For 97153, BCBS Michigan's median is 51% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.