Ambetter (Centene) reimbursement rates in South Carolina
For 97153 (one-on-one ABA therapy by a technician), the median of Ambetter (Centene)'s published South Carolina rates is $22.97 per 15 min (13 rates, 21 providers). That is 54% above South Carolina Medicaid's fee-for-service rate of $14.88.
- Codes with a median
- 30
- 97153 median
- $22.97per 15 min
- Files
- August 2026
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Ambetter (Centene) vs South Carolina Medicaid
Across 6 published rates from 8 providers, Ambetter (Centene) pays a median of $22.56 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in South Carolina. That is 6.2% above South Carolina Medicaid's fee-for-service rate of $21.25. Ambetter (Centene) publishes South Carolina rates for 30 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $22.97per 15 min | $91.88 | $14.8854% above | — | 1321 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.56per 15 min | $90.24 | $21.256.2% above | — | 68 providers |
All 30 Ambetter (Centene) codes with a median in South Carolina
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in South Carolina?
The median of Ambetter (Centene)'s published South Carolina rates for 97153 is $22.97 per 15 min ($91.88 per hour), from 13 rates and 21 providers in the August 2026 files.
Does Ambetter (Centene) pay more than South Carolina Medicaid for 97153?
Ambetter (Centene)'s median is 54% above the Medicaid fee-for-service rate of $14.88 per 15 min.
What does Ambetter (Centene) pay for 97155 in South Carolina?
The median of Ambetter (Centene)'s published South Carolina rates for 97155 is $22.56 per 15 min ($90.24 per hour), from 6 rates and 8 providers in the August 2026 files.
Does Ambetter (Centene) pay more than South Carolina Medicaid for 97155?
Ambetter (Centene)'s median is 6.2% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does Ambetter (Centene) publish rates for in South Carolina?
30 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in South Carolina. The full list, with ranges and modifier tiers, is in the workspace.