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BCBS Texas · New York · September 2026

BCBS Texas reimbursement rates in New York

For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Texas's published New York rates is $13.63 per 15 min (5 rates, 121 providers). That is 42% above New York Medicaid's fee-for-service rate of $9.63.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
66
97153 median
$13.63per 15 min
Files
September 2026
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Headline rates

BCBS Texas vs New York Medicaid

Across 5 published rates from 70 providers, BCBS Texas pays a median of $25.42 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York. That is 32% above New York Medicaid's fee-for-service rate of $19.26. BCBS Texas publishes New York rates for 66 of the codes we track. Figures are from the September 2026 files.

CodeBCBS Texas medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$13.63per 15 min$54.52$9.6342% above—5121 providers
97155ABA therapy led by the analyst (plan adjusted in session)$25.42per 15 min$101.68$19.2632% above—570 providers
BCBS Texas median$13.63
New York Medicaid$9.63
97153, per 15 min. September 2026 files.
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All 66 BCBS Texas codes with a median in New York

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FAQ

Frequently asked questions

What does BCBS Texas pay for 97153 in New York?

The median of BCBS Texas's published New York rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 121 providers in the September 2026 files.

Does BCBS Texas pay more than New York Medicaid for 97153?

BCBS Texas's median is 42% above the Medicaid fee-for-service rate of $9.63 per 15 min.

What does BCBS Texas pay for 97155 in New York?

The median of BCBS Texas's published New York rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 70 providers in the September 2026 files.

Does BCBS Texas pay more than New York Medicaid for 97155?

BCBS Texas's median is 32% above the Medicaid fee-for-service rate of $19.26 per 15 min.

How many codes does BCBS Texas publish rates for in New York?

66 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Texas median in New York. The full list, with ranges and modifier tiers, is in the workspace.