BCBS North Carolina ABA reimbursement rates in Virginia
For ABA therapy by a technician (97153), BCBS North Carolina's median in Virginia is $34.01 per 15 min, or $136.04 an hour, from 24 published rates. That is 45% above Virginia Medicaid ($23.48).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
On this page
BCBS North Carolina vs Virginia Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in Virginia is $34.01 per 15 min, or $136.04 an hour, from 24 published rates. That is 14% below Virginia Medicaid ($39.40). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in Virginia. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $23.48 | — | 24153 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $39.40 | — | 24153 providers |
Every ABA code BCBS North Carolina publishes in Virginia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Virginia?
The median of BCBS North Carolina's published Virginia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 153 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in Virginia?
The median of BCBS North Carolina's published Virginia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 153 providers in the September 2026 files.
Does BCBS North Carolina pay more than Virginia Medicaid for ABA?
For 97153, BCBS North Carolina's median is 45% above the Virginia Medicaid fee-for-service rate of $23.48 per 15 min.