Aetna reimbursement rates in New York
Across 21 published rates from 139 providers, Aetna pays a median of $18.08 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New York. That is 88% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 129
- 97153 median
- $18.08per 15 min
- Files
- October 2026
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Aetna vs New York Medicaid
Aetna's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York is $24.37 per 15 min, across 22 published rates from 139 providers. That is 27% above New York Medicaid's fee-for-service rate of $19.26. Aetna publishes New York rates for 129 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $18.08per 15 min | $72.32 | $9.6388% above | — | 21139 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $24.37per 15 min | $97.48 | $19.2627% above | — | 22139 providers |
All 129 Aetna codes with a median in New York
Frequently asked questions
What does Aetna pay for 97153 in New York?
The median of Aetna's published New York rates for 97153 is $18.08 per 15 min ($72.32 per hour), from 21 rates and 139 providers in the October 2026 files.
Does Aetna pay more than New York Medicaid for 97153?
Aetna's median is 88% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does Aetna pay for 97155 in New York?
The median of Aetna's published New York rates for 97155 is $24.37 per 15 min ($97.48 per hour), from 22 rates and 139 providers in the October 2026 files.
Does Aetna pay more than New York Medicaid for 97155?
Aetna's median is 27% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does Aetna publish rates for in New York?
129 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in New York. The full list, with ranges and modifier tiers, is in the workspace.