BCBS Texas ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), BCBS Texas's median in North Carolina is $13.63 per 15 min, or $54.52 an hour, from 5 published rates. That is 35% below North Carolina Medicaid ($20.81).
- 97153 median
- $13.63per 15 min
- 97155 median
- $25.42per 15 min
- Files
- September 2026
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BCBS Texas vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), BCBS Texas's median in North Carolina is $25.42 per 15 min, or $101.68 an hour, from 5 published rates. That is 21% below North Carolina Medicaid ($32.22). BCBS Texas pays 1.87 times as much for analyst time as for technician time in North Carolina. Figures come from BCBS Texas's September 2026 price-transparency files.
| Code | BCBS Texas median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $13.63per 15 min | $54.52 | $20.81 | — | 574 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.42per 15 min | $101.68 | $32.22 | — | 554 providers |
Every ABA code BCBS Texas publishes in North Carolina
Frequently asked questions
What does BCBS Texas pay for 97153 in North Carolina?
The median of BCBS Texas's published North Carolina rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 74 providers in the September 2026 files.
What does BCBS Texas pay for 97155 in North Carolina?
The median of BCBS Texas's published North Carolina rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 54 providers in the September 2026 files.
Does BCBS Texas pay more than North Carolina Medicaid for ABA?
For 97153, BCBS Texas's median is 35% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.