Virginia Medicaid ABA Rates: 97153 and Every ABA Code \| StreamABA [ ![StreamABA](https://streamaba.com/build/assets/logo-dark-Bta4omRy.svg) ](/) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [ Log in ](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [Log in](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) ABA Medicaid rates · Virginia Virginia Medicaid *ABA rates.* ================================ Virginia Medicaid (DMAS) FFS - Applied Behavior Analysis. Fee-for-service rates as the state publishes them, with the source and the date we last checked it. Website Work email Goto the Live Demo Rates by code What Virginia 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) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $23.48 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $39.40 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $46.63 97152 Supporting assessment (technician) Technician (RBT/UBT) Fee file carries only the technician and HN tiers for 97152 (no TF/HO rows), although DMAS BH code list allows HO/TF when an LBA/LMHP acts as technician. 15 min $15.00 LABA (Licensed Assistant Behavior Analyst) · Modifier HN Fee file carries only the technician and HN tiers for 97152 (no TF/HO rows), although DMAS BH code list allows HO/TF when an LBA/LMHP acts as technician. 15 min $23.48 97153 Adaptive behavior treatment by protocol (technician) Technician (RBT/UBT) 15 min $15.00 LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $23.48 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $39.40 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $46.63 97154 Group treatment by protocol (technician) Technician (RBT/UBT) Group code; priced separately (TF $13.13 is lower than HN $15.60 as published). 15 min $12.77 LABA (Licensed Assistant Behavior Analyst) · Modifier HN Group code; priced separately (TF $13.13 is lower than HN $15.60 as published). 15 min $15.60 LMHP (Licensed Mental Health Professional) · Modifier TF Group code; priced separately (TF $13.13 is lower than HN $15.60 as published). 15 min $13.13 LBA (Licensed Behavior Analyst) · Modifier HO Group code; priced separately (TF $13.13 is lower than HN $15.60 as published). 15 min $15.55 97155 Treatment with protocol modification (QHP) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $23.48 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $39.40 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $46.63 97156 Family treatment guidance (QHP) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $23.48 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $39.40 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $46.63 97157 Multiple-family group guidance (QHP) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $7.83 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $13.13 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $15.55 97158 Group treatment with protocol modification (QHP) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $22.83 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $28.13 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $30.54 0362T Supporting assessment for severe behavior (team) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $53.47 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $69.39 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $76.62 0373T Treatment for severe behavior (team) LABA (Licensed Assistant Behavior Analyst) · Modifier HN 15 min $53.47 LMHP (Licensed Mental Health Professional) · Modifier TF 15 min $69.39 LBA (Licensed Behavior Analyst) · Modifier HO 15 min $76.62 Caveats ------- - The modifier-to-tier mapping is inferred from the DMAS code list; the fee file labels tiers with truncated descriptions. - The technician tier is inferred from the 2021 DMAS rate study. How we read this state's schedule --------------------------------- All ABA modifier-tier rows effective 12/01/2021, end 12/31/9999 (current). The fee file labels tiers with truncated category descriptions ('U1 HN NOM', 'U2 TF UG GO H', 'U3 U7 HO HK', 'HK&HN HTU432N'); mapping to HN=LABA, TF=LMHP, HO=LBA, no modifier=technician is from the DMAS Behavioral Health Services code list (bh-codes-and-service-description.pdf, eff 1/1/2024) and corroborated by the DMAS/Mercer 2021 ABA rate assumptions (15-min units; tiers RBT/UBT, LABA, LMHP, LBA; published tier rates are exactly 1.125x those base figures). The technician-tier mapping of the 'HK&HN HTU432N' category is an inference from that corroboration. Separate 'REGULAR & CSB' physician rows for unmodified 97151/97152/97156/97157 (e.g. 97151 $6.75 eff 7/1/2026) are excluded as not the ABA provider rate. DMAS bulletin 7/28/2026: a 20 hr/week cumulative ABA limit for FFS members, effective date to be announced. Most members are in Cardinal Care managed care, whose MCOs may pay differently. Service authorization required. Program Virginia Medicaid (DMAS) FFS - Applied Behavior Analysis Effective date 2021-12-01 Last reviewed 2026-09-30 Source [DMAS Procedure Fee Files & CPT Codes (cptmedical1-4.csv), https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/procedure-fee-files-cpt-codes/](https://www.dmas.virginia.gov/media/cptcodes/cptmedical4.csv) National median · 97153 $15.04 per 15-min unit Virginia: $15.00 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 Virginia 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. Spotted a change or an error? [Tell us](https://streamaba.com/support) and we will re-check the source. Live demo · No sales call Bill the rate you're actually owed. ------------------------------------- StreamABA keeps each payer's fee schedule, authorizations and claims in one place, so every session bills at the right rate. Get instant access to the live demo. No sales call, no meeting. 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