BCBS North Carolina ABA reimbursement rates in District of Columbia
For ABA therapy by a technician (97153), BCBS North Carolina's median in District of Columbia is $34.01 per 15 min, or $136.04 an hour, from 12 published rates. That is 24% above District of Columbia Medicaid ($27.50).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs District of Columbia Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in District of Columbia is $34.01 per 15 min, or $136.04 an hour, from 12 published rates. That is 8.8% above District of Columbia Medicaid ($31.25). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in District of Columbia. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $27.50 | — | 127 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $31.25 | — | 127 providers |
Every ABA code BCBS North Carolina publishes in District of Columbia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in District of Columbia?
The median of BCBS North Carolina's published District of Columbia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 12 rates and 7 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in District of Columbia?
The median of BCBS North Carolina's published District of Columbia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 12 rates and 7 providers in the September 2026 files.
Does BCBS North Carolina pay more than District of Columbia Medicaid for ABA?
For 97153, BCBS North Carolina's median is 24% above the District of Columbia Medicaid fee-for-service rate of $27.50 per 15 min.