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97156 · New York · every payer

What every payer pays for 97156 in New York

Across 10 commercial payers in New York, the middle payer's median for 97156 (ABA parent or caregiver training by the analyst) is $28.83 per 15 min. New York Medicaid's fee-for-service rate, $19.26 per 15 min, is 33% below that commercial median.

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

Commercial median
$28.83per 15 min
New York Medicaid
$19.26
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Payer mix

97156 in New York, by payer type

New York Medicaid$19.26
Commercial (10 payers)$28.83
UnitedHealthcare$44.06
Horizon BCBS NJ$31.25
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97156 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$44.06 per 15 min$176.24252
Horizon BCBS NJCommercial$31.25 per 15 min$125.0063
See every payer's 97156 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 97156 in New York?

The median of 10 payers' medians is $28.83 per 15 min, from 480 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97156?

New York Medicaid pays $19.26 per 15 min, 33% below the commercial median.

What does UnitedHealthcare pay for 97156 in New York?

UnitedHealthcare's median is $44.06 per 15 min, from 252 rates and 561 providers.

What does Horizon BCBS NJ pay for 97156 in New York?

Horizon BCBS NJ's median is $31.25 per 15 min, from 63 rates and 265 providers.