97152 Medicaid reimbursement rates by state
Behavior assessment help from one technician. 17 state Medicaid programs publish a fee-for-service rate for 97152 at the technician level. Rates run from $10.00 in Louisiana to $61.73 in North Carolina, with a median of $16.37.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $16.37units vary by state
- Highest
- $61.73North Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
97152 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| North CarolinaBehavior technician (RBT / BT) · North Carolina Medicaid Direct (fee-for-service) | $61.73⚠ over 3× mediansince 2025-10-01 | 15 min | $246.92 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'LCSW LCMHC LMF |
| GeorgiaBehavior technician (RBT / BT) · Georgia Medicaid (fee-for-service) | $30.91since 2025-07-01 | 15 min | $123.64 | Plans negotiate; applies out of network | — | Georgia Medicaid Autism Spectrum Disorde |
| NebraskaBehavior technician (RBT / BT) · Nebraska Medicaid (fee-for-service) | $25.88since 2026-07-01 | 15 min | $103.52 | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| WisconsinBehavior technician (RBT / BT) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $22.93since 2023-02-01 | 15 min | $91.72 | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Behavior |
| ArizonaBehavior technician (RBT / BT) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $21.49since 2026-10-01 | 15 min | $85.96 | Plans negotiate; applies out of network | — | AHCCCS FFS Program Capped Fee Schedule: |
| South CarolinaBehavior technician (RBT / BT) · South Carolina Healthy Connections Medicaid (fee-for-service) | $20.50since 2026-08-13 | 15 min | $82.00 | Not classified | — | SCDHHS ASD Services Fee Schedule |
| New YorkBehavior technician (RBT / BT) · New York Medicaid (fee-for-service) | $19.26since 2022-04-01 | 15 min | $77.04 | Not classified | — | eMedNY NYS Medicaid Applied Behavior Ana |
| MarylandBehavior technician (RBT / BT) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO) | $19.17since 2024-07-01 | 15 min | $76.68 | Paid by the state, outside plans | — | ABA Fee Schedule FY25 |
| MissouriBehavior technician (RBT / BT) · Missouri Adult Brain Injury Waiver (1915(c)) | $16.37since 2024-07-01 | 15 min | $65.48 | Paid by the state, outside plans | — | MO HealthNet fee schedule: Brain Injury |
| IndianaBehavior technician (RBT / BT) · Indiana Medicaid (fee-for-service) | $16.04since 2026-04-01 | 15 min | $64.16 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| PennsylvaniaBehavior technician (RBT / BT) · Pennsylvania Medical Assistance (fee-for-service) | $15.76since 2021-09-30 | 15 min | $63.04 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| VirginiaBehavior technician (RBT / BT) · Virginia Medicaid (fee-for-service, DMAS) | $15.00since 2021-12-01 | 15 min | $60.00 | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| IllinoisBehavior technician (RBT / BT) · Illinois Medicaid (HFS fee-for-service) | $13.00since 2022-01-15 | 1/4 hr | — | Plans negotiate; applies out of network | — | HFS Adaptive Behavior Support (ABS) Serv |
| FloridaBehavior technician (RBT / BT) · Florida Medicaid (fee-for-service) | $12.19since 2026-01-01 | 15 min | $48.76 | Plans negotiate; applies out of network | — | Behavior Analysis Fee Schedule (Updated |
| KentuckyBehavior technician (RBT / BT) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $12.18since 2026-04-01 | 15 min | $48.72 | Plans negotiate; applies out of network | — | KY Medicaid Behavioral Health fee schedu |
| New JerseyBehavior technician (RBT / BT) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $11.20since 2025-01-01 | 15 min | $44.80 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| LouisianaBehavior technician (RBT / BT) · Louisiana Medicaid (fee-for-service) | $10.00since 2019-03-20 | 15 min | $40.00 | Plans must pay at least this | — | Louisiana Medicaid EPSDT Health Services |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 97152?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $16.37. North Carolina pays the most ($61.73 per 15 min) and Louisiana the least ($10.00 per 15 min).
Which state pays the highest Medicaid rate for 97152?
North Carolina, at $61.73 per 15 min ($246.92 per hour), effective 2025-10-01.
Do managed-care plans pay the same rate for 97152?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.