BCBS North Carolina ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), BCBS North Carolina's median in North Carolina is $32.47 per 15 min, or $129.88 an hour, from 44 published rates. That is 56% above North Carolina Medicaid ($20.81).
- 97153 median
- $32.47per 15 min
- 97155 median
- $32.47per 15 min
- Files
- September 2026
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BCBS North Carolina vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in North Carolina is $32.47 per 15 min, or $129.88 an hour, from 44 published rates. That is 0.8% above North Carolina Medicaid ($32.22). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in North Carolina. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $32.47per 15 min | $129.88 | $20.81 | — | 445955 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.47per 15 min | $129.88 | $32.22 | — | 445955 providers |
Every ABA code BCBS North Carolina publishes in North Carolina
Frequently asked questions
What does BCBS North Carolina pay for 97153 in North Carolina?
The median of BCBS North Carolina's published North Carolina rates for 97153 is $32.47 per 15 min ($129.88 per hour), from 44 rates and 5955 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in North Carolina?
The median of BCBS North Carolina's published North Carolina rates for 97155 is $32.47 per 15 min ($129.88 per hour), from 44 rates and 5955 providers in the September 2026 files.
Does BCBS North Carolina pay more than North Carolina Medicaid for ABA?
For 97153, BCBS North Carolina's median is 56% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.