BCBS Michigan ABA reimbursement rates in North Carolina
BCBS Michigan pays a median of $14.50 per 15 min ($58.00 an hour) for ABA therapy by a technician (97153) in North Carolina, across 144 rates and 657 providers. That is 30% below North Carolina Medicaid ($20.81).
- 97153 median
- $14.50per 15 min
- 97155 median
- $21.88per 15 min
- Files
- October 2026
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BCBS Michigan vs North Carolina Medicaid and TRICARE
BCBS Michigan pays a median of $21.88 per 15 min ($87.52 an hour) for protocol modification by the analyst (97155) in North Carolina, across 121 rates and 643 providers. That is 32% below North Carolina Medicaid ($32.22). BCBS Michigan pays 1.51 times as much for analyst time as for technician time in North Carolina. Figures come from BCBS Michigan's October 2026 price-transparency files. 3 credential or modifier tiers are broken out in the workspace.
| Code | BCBS Michigan median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $14.50per 15 min | $58.00 | $20.81 | — | 144657 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.88per 15 min | $87.52 | $32.22 | — | 121643 providers |
Every ABA code BCBS Michigan publishes in North Carolina
Frequently asked questions
What does BCBS Michigan pay for 97153 in North Carolina?
The median of BCBS Michigan's published North Carolina rates for 97153 is $14.50 per 15 min ($58.00 per hour), from 144 rates and 657 providers in the October 2026 files.
What does BCBS Michigan pay for 97155 in North Carolina?
The median of BCBS Michigan's published North Carolina rates for 97155 is $21.88 per 15 min ($87.52 per hour), from 121 rates and 643 providers in the October 2026 files.
Does BCBS Michigan pay more than North Carolina Medicaid for ABA?
For 97153, BCBS Michigan's median is 30% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.