BCBS North Carolina ABA reimbursement rates in New York
For ABA therapy by a technician (97153), BCBS North Carolina's median in New York is $34.01 per 15 min, or $136.04 an hour, from 20 published rates. That is 253% above New York Medicaid ($9.63).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs New York Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in New York is $34.01 per 15 min, or $136.04 an hour, from 20 published rates. That is 77% above New York Medicaid ($19.26). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in New York. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $9.63 | — | 20114 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $19.26 | — | 20114 providers |
Every ABA code BCBS North Carolina publishes in New York
Frequently asked questions
What does BCBS North Carolina pay for 97153 in New York?
The median of BCBS North Carolina's published New York rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 20 rates and 114 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in New York?
The median of BCBS North Carolina's published New York rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 20 rates and 114 providers in the September 2026 files.
Does BCBS North Carolina pay more than New York Medicaid for ABA?
For 97153, BCBS North Carolina's median is 253% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.