BCBS North Carolina ABA reimbursement rates in Texas
BCBS North Carolina pays a median of $34.01 per 15 min ($136.04 an hour) for ABA therapy by a technician (97153) in Texas, across 22 rates and 148 providers. That is 135% above Texas Medicaid ($14.50).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs Texas 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 Texas, across 22 rates and 148 providers. That is 36% above Texas Medicaid ($25.10). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in Texas. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $14.50 | — | 22148 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $25.10 | — | 22148 providers |
Every ABA code BCBS North Carolina publishes in Texas
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Texas?
The median of BCBS North Carolina's published Texas rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 22 rates and 148 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in Texas?
The median of BCBS North Carolina's published Texas rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 22 rates and 148 providers in the September 2026 files.
Does BCBS North Carolina pay more than Texas Medicaid for ABA?
For 97153, BCBS North Carolina's median is 135% above the Texas Medicaid fee-for-service rate of $14.50 per 15 min.