BCBS Illinois reimbursement rates in New York
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Illinois's published New York rates is $23.23 per 15 min (8 rates, 78 providers). That is 141% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 79
- 97153 median
- $23.23per 15 min
- Files
- September 2026
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BCBS Illinois vs New York Medicaid
Across 7 published rates from 75 providers, BCBS Illinois pays a median of $36.36 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York. That is 89% above New York Medicaid's fee-for-service rate of $19.26. BCBS Illinois publishes New York rates for 79 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS Illinois median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $23.23per 15 min | $92.92 | $9.63141% above | — | 878 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $36.36per 15 min | $145.44 | $19.2689% above | — | 775 providers |
All 79 BCBS Illinois codes with a median in New York
Frequently asked questions
What does BCBS Illinois pay for 97153 in New York?
The median of BCBS Illinois's published New York rates for 97153 is $23.23 per 15 min ($92.92 per hour), from 8 rates and 78 providers in the September 2026 files.
Does BCBS Illinois pay more than New York Medicaid for 97153?
BCBS Illinois's median is 141% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does BCBS Illinois pay for 97155 in New York?
The median of BCBS Illinois's published New York rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 7 rates and 75 providers in the September 2026 files.
Does BCBS Illinois pay more than New York Medicaid for 97155?
BCBS Illinois's median is 89% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does BCBS Illinois publish rates for in New York?
79 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in New York. The full list, with ranges and modifier tiers, is in the workspace.