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ABA · UnitedHealthcare · New York

UnitedHealthcare ABA reimbursement rates in New York

For ABA therapy by a technician (97153), UnitedHealthcare's median in New York is $43.11 per 15 min, or $172.44 an hour, from 255 published rates. That is 348% above New York Medicaid ($9.63).

Updated 2026-10-08October 2026 files

97153 median
$43.11per 15 min
97155 median
$43.11per 15 min
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October 2026
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UnitedHealthcare vs New York Medicaid and TRICARE

For protocol modification by the analyst (97155), UnitedHealthcare's median in New York is $43.11 per 15 min, or $172.44 an hour, from 256 published rates. That is 124% above New York Medicaid ($19.26). UnitedHealthcare pays 1.00 times as much for analyst time as for technician time in New York. Figures come from UnitedHealthcare's October 2026 price-transparency files.

CodeUnitedHealthcare medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$43.11per 15 min$172.44$9.63—255562 providers
97155ABA therapy led by the analyst (plan adjusted in session)$43.11per 15 min$172.44$19.26—256562 providers
UnitedHealthcare$43.11
New York Medicaid$9.63
97153, per 15 min.
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FAQ

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.

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 ABA?

For 97153, UnitedHealthcare's median is 348% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.