CareFirst BCBS ABA reimbursement rates in North Carolina
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in North Carolina, across 22 rates and 108 providers. That is 18% above North Carolina Medicaid ($20.81).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs North Carolina Medicaid and TRICARE
CareFirst BCBS pays a median of $32.61 per 15 min ($130.44 an hour) for protocol modification by the analyst (97155) in North Carolina, across 22 rates and 108 providers. That is 1.2% above North Carolina Medicaid ($32.22). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in North Carolina. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $20.81 | — | 22108 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $32.22 | — | 22108 providers |
Every ABA code CareFirst BCBS publishes in North Carolina
Frequently asked questions
What does CareFirst BCBS pay for 97153 in North Carolina?
The median of CareFirst BCBS's published North Carolina rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 22 rates and 108 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in North Carolina?
The median of CareFirst BCBS's published North Carolina rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 22 rates and 108 providers in the October 2026 files.
Does CareFirst BCBS pay more than North Carolina Medicaid for ABA?
For 97153, CareFirst BCBS's median is 18% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.