BCBS North Carolina ABA reimbursement rates in West Virginia
For ABA therapy by a technician (97153), BCBS North Carolina's median in West Virginia is $34.01 per 15 min, or $136.04 an hour, from 8 published rates. That is 244% above West Virginia Medicaid ($9.90).
- 97153 median
- $34.01per 15 min
- 97155 median
- $34.01per 15 min
- Files
- September 2026
On this page
BCBS North Carolina vs West Virginia Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS North Carolina's median in West Virginia is $34.01 per 15 min, or $136.04 an hour, from 8 published rates. That is 17% above West Virginia Medicaid ($29.14). BCBS North Carolina pays 1.00 times as much for analyst time as for technician time in West Virginia. Figures come from BCBS North Carolina's September 2026 price-transparency files.
| Code | BCBS North Carolina median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $9.90 | — | 88 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $29.14 | — | 88 providers |
Every ABA code BCBS North Carolina publishes in West Virginia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in West Virginia?
The median of BCBS North Carolina's published West Virginia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 8 rates and 8 providers in the September 2026 files.
What does BCBS North Carolina pay for 97155 in West Virginia?
The median of BCBS North Carolina's published West Virginia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 8 rates and 8 providers in the September 2026 files.
Does BCBS North Carolina pay more than West Virginia Medicaid for ABA?
For 97153, BCBS North Carolina's median is 244% above the West Virginia Medicaid fee-for-service rate of $9.90 per 15 min.