BCBS Illinois ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), BCBS Illinois's median in North Carolina is $19.75 per 15 min, or $79.00 an hour, from 6 published rates. That is 5.1% below North Carolina Medicaid ($20.81).
- 97153 median
- $19.75per 15 min
- 97155 median
- $30.91per 15 min
- Files
- September 2026
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BCBS Illinois vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS Illinois's median in North Carolina is $30.91 per 15 min, or $123.64 an hour, from 6 published rates. That is 4.1% below North Carolina Medicaid ($32.22). BCBS Illinois pays 1.57 times as much for analyst time as for technician time in North Carolina. Figures come from BCBS Illinois's September 2026 price-transparency files.
| Code | BCBS Illinois median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.75per 15 min | $79.00 | $20.81 | — | 652 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.91per 15 min | $123.64 | $32.22 | — | 650 providers |
Every ABA code BCBS Illinois publishes in North Carolina
Frequently asked questions
What does BCBS Illinois pay for 97153 in North Carolina?
The median of BCBS Illinois's published North Carolina rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 6 rates and 52 providers in the September 2026 files.
What does BCBS Illinois pay for 97155 in North Carolina?
The median of BCBS Illinois's published North Carolina rates for 97155 is $30.91 per 15 min ($123.64 per hour), from 6 rates and 50 providers in the September 2026 files.
Does BCBS Illinois pay more than North Carolina Medicaid for ABA?
For 97153, BCBS Illinois's median is 5.1% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.