Aetna reimbursement rates in Virginia
For 97153 (one-on-one ABA therapy by a technician), the median of Aetna's published Virginia rates is $15.55 per 15 min (22 rates, 146 providers). That is 34% below Virginia Medicaid's fee-for-service rate of $23.48.
- Codes with a median
- 108
- 97153 median
- $15.55per 15 min
- Files
- October 2026
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Aetna vs Virginia Medicaid
Across 23 published rates from 146 providers, Aetna pays a median of $20.97 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Virginia. That is 47% below Virginia Medicaid's fee-for-service rate of $39.40. Aetna publishes Virginia rates for 108 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $23.4834% below | — | 22146 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $39.4047% below | — | 23146 providers |
All 108 Aetna codes with a median in Virginia
Frequently asked questions
What does Aetna pay for 97153 in Virginia?
The median of Aetna's published Virginia rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 22 rates and 146 providers in the October 2026 files.
Does Aetna pay more than Virginia Medicaid for 97153?
Aetna's median is 34% below the Medicaid fee-for-service rate of $23.48 per 15 min.
What does Aetna pay for 97155 in Virginia?
The median of Aetna's published Virginia rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 23 rates and 146 providers in the October 2026 files.
Does Aetna pay more than Virginia Medicaid for 97155?
Aetna's median is 47% below the Medicaid fee-for-service rate of $39.40 per 15 min.
How many codes does Aetna publish rates for in Virginia?
108 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in Virginia. The full list, with ranges and modifier tiers, is in the workspace.