Ambetter (Centene) ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), Ambetter (Centene)'s median in North Carolina is $21.64 per 15 min, or $86.56 an hour, from 14 published rates. That is 4.0% above North Carolina Medicaid ($20.81).
- 97153 median
- $21.64per 15 min
- 97155 median
- $22.48per 15 min
- Files
- August 2026
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Ambetter (Centene) vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), Ambetter (Centene)'s median in North Carolina is $22.48 per 15 min, or $89.92 an hour, from 5 published rates. That is 30% below North Carolina Medicaid ($32.22). Ambetter (Centene) pays 1.04 times as much for analyst time as for technician time in North Carolina. Figures come from Ambetter (Centene)'s August 2026 price-transparency files. 28 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $21.64per 15 min | $86.56 | $20.81 | — | 1439 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.48per 15 min | $89.92 | $32.22 | — | 513 providers |
Every ABA code Ambetter (Centene) publishes in North Carolina
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in North Carolina?
The median of Ambetter (Centene)'s published North Carolina rates for 97153 is $21.64 per 15 min ($86.56 per hour), from 14 rates and 39 providers in the August 2026 files.
What does Ambetter (Centene) pay for 97155 in North Carolina?
The median of Ambetter (Centene)'s published North Carolina rates for 97155 is $22.48 per 15 min ($89.92 per hour), from 5 rates and 13 providers in the August 2026 files.
Does Ambetter (Centene) pay more than North Carolina Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 4.0% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.