Aetna reimbursement rates in Texas
For 97153 (one-on-one ABA therapy by a technician), the median of Aetna's published Texas rates is $18.24 per 15 min (44 rates, 230 providers). That is 26% above Texas Medicaid's fee-for-service rate of $14.50.
- Codes with a median
- 129
- 97153 median
- $18.24per 15 min
- Files
- October 2026
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Aetna vs Texas Medicaid
Across 42 published rates from 230 providers, Aetna pays a median of $24.60 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Texas. That is 2.0% below Texas Medicaid's fee-for-service rate of $25.10. Aetna publishes Texas rates for 129 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $18.24per 15 min | $72.96 | $14.5026% above | — | 44230 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $24.60per 15 min | $98.40 | $25.102.0% below | — | 42230 providers |
All 129 Aetna codes with a median in Texas
Frequently asked questions
What does Aetna pay for 97153 in Texas?
The median of Aetna's published Texas rates for 97153 is $18.24 per 15 min ($72.96 per hour), from 44 rates and 230 providers in the October 2026 files.
Does Aetna pay more than Texas Medicaid for 97153?
Aetna's median is 26% above the Medicaid fee-for-service rate of $14.50 per 15 min.
What does Aetna pay for 97155 in Texas?
The median of Aetna's published Texas rates for 97155 is $24.60 per 15 min ($98.40 per hour), from 42 rates and 230 providers in the October 2026 files.
Does Aetna pay more than Texas Medicaid for 97155?
Aetna's median is 2.0% below the Medicaid fee-for-service rate of $25.10 per 15 min.
How many codes does Aetna publish rates for in Texas?
129 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Texas. The full list, with ranges and modifier tiers, is in the workspace.