BCBS Michigan ABA reimbursement rates in West Virginia
BCBS Michigan pays a median of $12.88 per 15 min ($51.52 an hour) for ABA therapy by a technician (97153) in West Virginia, across 62 rates and 182 providers. That is 30% above West Virginia Medicaid ($9.90).
- 97153 median
- $12.88per 15 min
- 97155 median
- $21.32per 15 min
- Files
- October 2026
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BCBS Michigan vs West Virginia Medicaid and TRICARE
BCBS Michigan pays a median of $21.32 per 15 min ($85.28 an hour) for protocol modification by the analyst (97155) in West Virginia, across 47 rates and 177 providers. That is 27% below West Virginia Medicaid ($29.14). BCBS Michigan pays 1.66 times as much for analyst time as for technician time in West Virginia. 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 | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $12.88per 15 min | $51.52 | $9.90 | — | 62182 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.32per 15 min | $85.28 | $29.14 | — | 47177 providers |
Every ABA code BCBS Michigan publishes in West Virginia
Frequently asked questions
What does BCBS Michigan pay for 97153 in West Virginia?
The median of BCBS Michigan's published West Virginia rates for 97153 is $12.88 per 15 min ($51.52 per hour), from 62 rates and 182 providers in the October 2026 files.
What does BCBS Michigan pay for 97155 in West Virginia?
The median of BCBS Michigan's published West Virginia rates for 97155 is $21.32 per 15 min ($85.28 per hour), from 47 rates and 177 providers in the October 2026 files.
Does BCBS Michigan pay more than West Virginia Medicaid for ABA?
For 97153, BCBS Michigan's median is 30% above the West Virginia Medicaid fee-for-service rate of $9.90 per 15 min.