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97157 · New York · every payer

What every payer pays for 97157 in New York

7 commercial payers publish New York rates for 97157 (ABA parent or caregiver training for several families), and the median of their medians is $21.94 per 15 min. New York Medicaid's fee-for-service rate, $3.31 per 15 min, is 85% below that commercial median.

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

Commercial median
$21.94per 15 min
New York Medicaid
$3.31
TRICARE
$8.32
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Payer mix

97157 in New York, by payer type

TRICARE pays $8.32 per 15 min.

New York Medicaid$3.31
Commercial (7 payers)$21.94
TRICARE$8.32
UnitedHealthcare$28.47
Horizon BCBS NJ$17.96
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97157 rate in New York

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$28.47 per 15 min$113.88259
Horizon BCBS NJCommercial$17.96 per 15 min$71.8460
See every payer's 97157 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 97157 in New York?

The median of 7 payers' medians is $21.94 per 15 min, from 413 published rates in the October 2026 files.

How does New York Medicaid compare with commercial insurance for 97157?

New York Medicaid pays $3.31 per 15 min, 85% below the commercial median.

What does UnitedHealthcare pay for 97157 in New York?

UnitedHealthcare's median is $28.47 per 15 min, from 259 rates and 571 providers.

What does Horizon BCBS NJ pay for 97157 in New York?

Horizon BCBS NJ's median is $17.96 per 15 min, from 60 rates and 266 providers.