Aetna reimbursement rates in Pennsylvania
Aetna's median rate for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania is $15.55 per 15 min, across 15 published rates from 80 providers. That is 22% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 99
- 97153 median
- $15.55per 15 min
- Files
- October 2026
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Aetna vs Pennsylvania Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Aetna's published Pennsylvania rates is $20.97 per 15 min (15 rates, 80 providers). That is 5.1% below Pennsylvania Medicaid's fee-for-service rate of $22.09. Aetna publishes Pennsylvania rates for 99 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $12.7322% above | — | 1580 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $22.095.1% below | — | 1580 providers |
All 99 Aetna codes with a median in Pennsylvania
Frequently asked questions
What does Aetna pay for 97153 in Pennsylvania?
The median of Aetna's published Pennsylvania rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 15 rates and 80 providers in the October 2026 files.
Does Aetna pay more than Pennsylvania Medicaid for 97153?
Aetna's median is 22% above the Medicaid fee-for-service rate of $12.73 per 15 min.
What does Aetna pay for 97155 in Pennsylvania?
The median of Aetna's published Pennsylvania rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 15 rates and 80 providers in the October 2026 files.
Does Aetna pay more than Pennsylvania Medicaid for 97155?
Aetna's median is 5.1% below the Medicaid fee-for-service rate of $22.09 per 15 min.
How many codes does Aetna publish rates for in Pennsylvania?
99 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.