BCBS North Carolina ABA reimbursement rates in South Carolina
BCBS North Carolina pays a median of $34.01 per 15 min ($136.04 an hour) for ABA therapy by a technician (97153) in South Carolina, across 24 rates and 167 providers. That is 129% above South Carolina Medicaid ($14.88).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs South Carolina Medicaid and TRICARE
BCBS North Carolina pays a median of $34.01 per 15 min ($136.04 an hour) for protocol modification by the analyst (97155) in South Carolina, across 24 rates and 167 providers. That is 60% above South Carolina Medicaid ($21.25). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in South Carolina. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $14.88 | — | 24167 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $21.25 | — | 24167 providers |
Every ABA code BCBS North Carolina publishes in South Carolina
Frequently asked questions
What does BCBS North Carolina pay for 97153 in South Carolina?
The median of BCBS North Carolina's published South Carolina rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 167 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in South Carolina?
The median of BCBS North Carolina's published South Carolina rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 167 providers in the September 2026 files.
Does BCBS North Carolina pay more than South Carolina Medicaid for ABA?
For 97153, BCBS North Carolina's median is 129% above the South Carolina Medicaid fee-for-service rate of $14.88 per 15 min.