BCBS North Carolina ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), BCBS North Carolina's median in Pennsylvania is $34.01 per 15 min, or $136.04 an hour, from 15 published rates. That is 167% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
On this page
BCBS North Carolina vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in Pennsylvania is $34.01 per 15 min, or $136.04 an hour, from 15 published rates. That is 54% above Pennsylvania Medicaid ($22.09). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in Pennsylvania. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $12.73 | — | 1550 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $22.09 | — | 1550 providers |
Every ABA code BCBS North Carolina publishes in Pennsylvania
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Pennsylvania?
The median of BCBS North Carolina's published Pennsylvania rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 15 rates and 50 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in Pennsylvania?
The median of BCBS North Carolina's published Pennsylvania rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 15 rates and 50 providers in the September 2026 files.
Does BCBS North Carolina pay more than Pennsylvania Medicaid for ABA?
For 97153, BCBS North Carolina's median is 167% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.