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 ABA Medicaid rates · Utah 

 Utah Medicaid *ABA rates.* 
============================

 Utah Medicaid FFS (Traditional plan) - Provider Allowable Code 166 Applied Behavioral Analyst. Fee-for-service rates as the state publishes them, with the source and the date we last checked it.

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    Rates by code 

What Utah Medicaid *pays.*
--------------------------

Published. The state publishes a fee-for-service rate for these codes.

   Code Modifier / provider tier Unit Rate      97151 Behavior identification assessment (QHP)   All providers Covered, ages 1+, no PA.  15 min $37.51    97152 Supporting assessment (technician)   All providers Listed 'Not Covered' for PAC 166.  15 min —    97153 Adaptive behavior treatment by protocol (technician)   All providers Covered, ages 1+, PA required.  15 min $19.67    97154 Group treatment by protocol (technician)   All providers Covered, ages 1+, PA required.  15 min $13.91    97155 Treatment with protocol modification (QHP)   All providers Covered, ages 1+, PA required. Must be reported with HP, HO or HN to identify the supervising clinician; no separate rates per modifier.  15 min $37.51    97156 Family treatment guidance (QHP)   All providers Covered, ages 1+, PA required.  15 min $37.51    97157 Multiple-family group guidance (QHP)   All providers Listed covered (PA required) but allowed amount is $0.00; no rate published.  15 min —    97158 Group treatment with protocol modification (QHP)   All providers Listed covered (PA required) but allowed amount is $0.00; no rate published.  15 min —    0362T Supporting assessment for severe behavior (team)   All providers Not on PAC 166 schedule.  15 min —    0373T Treatment for severe behavior (team)   All providers Not on PAC 166 schedule.  15 min —    

How we read this state's schedule
---------------------------------

Generated from the state's official download tool (output\_csv.php, pac\_code=166, service date 09/30/2026). 97151/97153-97156 rows effective 07/01/2026 (updated 06/12/2026). Single rate per code: HP (psychologist/BCBA-D), HO (BCBA) and HN (behavior analyst in training/BCaBA) modifiers are required on 97155 and H0032 supervision lines to identify the supervising clinician, but no separate rates are published per modifier. 97152 is 'Not Covered' for PAC 166. 97157 and 97158 are listed as covered with a $0.00 allowed amount (effective 07/01/2022), so no rate is published. 0362T and 0373T are not on the PAC 166 schedule. Indirect case supervision is billed as H0032 ($37.51, not captured in rates). FFS only; members in managed care are paid per plan contracts.

   Program Utah Medicaid FFS (Traditional plan) - Provider Allowable Code 166 Applied Behavioral Analyst 

 Effective date 2026-07-01 

 Last reviewed 2026-09-30 

 Source  [Utah Medicaid Fee Schedule Download Tool - PAC 166 (Applied Behavioral Analyst), Traditional plan, date of service 09/30/2026](https://health.utah.gov/stplan/lookup/FeeScheduleDownload.php)  

National median · 97153

 $15.04 per 15-min unit

 Utah: $19.67 at the same tier.

  Across 40 states, at the technician tier or the single rate where a state has no tiers. [How we count](https://streamaba.com/tools/aba-medicaid-rates#methodology)  

 [Compare every state](https://streamaba.com/tools/aba-medicaid-rates)

Read this before you rely on a number
-------------------------------------

- These are Utah Medicaid fee-for-service rates as published by the state. They are not commercial insurance rates and not managed care plan rates.
- This page is general information, not billing, coding or legal advice.
- Fee schedules change, often without notice. Verify every rate with the state Medicaid agency, or with the plan you bill, before you rely on it.
- CPT is a registered trademark of the American Medical Association. Code names here are our own short descriptions.

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