Aetna ABA reimbursement rates in North Carolina
Aetna pays a median of $15.55 per 15 min ($62.20 an hour) for ABA therapy by a technician (97153) in North Carolina, across 52 rates and 2251 providers. That is 25% below North Carolina Medicaid ($20.81).
- 97153 median
- $15.55per 15 min
- 97155 median
- $20.97per 15 min
- Files
- October 2026
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Aetna vs North Carolina Medicaid and TRICARE
Aetna pays a median of $20.97 per 15 min ($83.88 an hour) for protocol modification by the analyst (97155) in North Carolina, across 45 rates and 2251 providers. That is 35% below North Carolina Medicaid ($32.22). Aetna pays 1.35 times as much for analyst time as for technician time in North Carolina. Figures come from Aetna's October 2026 price-transparency files.
| Code | Aetna median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $20.81 | — | 522251 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $32.22 | — | 452251 providers |
Every ABA code Aetna publishes in North Carolina
Frequently asked questions
What does Aetna pay for 97153 in North Carolina?
The median of Aetna's published North Carolina rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 52 rates and 2251 providers in the October 2026 files.
What does Aetna pay for 97155 in North Carolina?
The median of Aetna's published North Carolina rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 45 rates and 2251 providers in the October 2026 files.
Does Aetna pay more than North Carolina Medicaid for ABA?
For 97153, Aetna's median is 25% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.