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97154 · New York · every payer

What every payer pays for 97154 in New York

Across 10 commercial payers in New York, the middle payer's median for 97154 (group ABA therapy by a technician) is $6.00 per 15 min. New York Medicaid's fee-for-service rate, $3.31 per 15 min, is 45% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$6.00per 15 min
New York Medicaid
$3.31
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Payer mix

97154 in New York, by payer type

New York Medicaid$3.31
Commercial (10 payers)$6.00
UnitedHealthcare$5.98
Horizon BCBS NJ$4.22
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97154 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$5.98 per 15 min$23.92240
Horizon BCBS NJCommercial$4.22 per 15 min$16.8861
See every payer's 97154 rate in New York

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97154 in New York?

The median of 10 payers' medians is $6.00 per 15 min, from 413 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97154?

New York Medicaid pays $3.31 per 15 min, 45% below the commercial median.

What does UnitedHealthcare pay for 97154 in New York?

UnitedHealthcare's median is $5.98 per 15 min, from 240 rates and 576 providers.

What does Horizon BCBS NJ pay for 97154 in New York?

Horizon BCBS NJ's median is $4.22 per 15 min, from 61 rates and 266 providers.