BCBS Tennessee ABA reimbursement rates in North Carolina
BCBS Tennessee pays a median of $28.71 per 15 min ($114.84 an hour) for ABA therapy by a technician (97153) in North Carolina, across 18 rates and 43 providers. That is 38% above North Carolina Medicaid ($20.81).
- 97153 median
- $28.71per 15 min
- 97155 median
- $28.71per 15 min
- Files
- September 2026
On this page
BCBS Tennessee vs North Carolina Medicaid and TRICARE
BCBS Tennessee pays a median of $28.71 per 15 min ($114.84 an hour) for protocol modification by the analyst (97155) in North Carolina, across 18 rates and 43 providers. That is 11% below North Carolina Medicaid ($32.22). BCBS Tennessee pays 1.00 times as much for analyst time as for technician time in North Carolina. Figures come from BCBS Tennessee's September 2026 price-transparency files. 1 credential or modifier tier is broken out in the workspace.
| Code | BCBS Tennessee median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $28.71per 15 min | $114.84 | $20.81 | — | 1843 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $28.71per 15 min | $114.84 | $32.22 | — | 1843 providers |
Every ABA code BCBS Tennessee publishes in North Carolina
Frequently asked questions
What does BCBS Tennessee pay for 97153 in North Carolina?
The median of BCBS Tennessee's published North Carolina rates for 97153 is $28.71 per 15 min ($114.84 per hour), from 18 rates and 43 providers in the September 2026 files.
What does BCBS Tennessee pay for 97155 in North Carolina?
The median of BCBS Tennessee's published North Carolina rates for 97155 is $28.71 per 15 min ($114.84 per hour), from 18 rates and 43 providers in the September 2026 files.
Does BCBS Tennessee pay more than North Carolina Medicaid for ABA?
For 97153, BCBS Tennessee's median is 38% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.