Cigna ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), Cigna's median in North Carolina is $14.00 per 15 min, or $56.00 an hour, from 145 published rates. That is 33% below North Carolina Medicaid ($20.81).
- 97153 median
- $14.00per 15 min
- 97155 median
- $23.00per 15 min
- Files
- October 2026
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Cigna vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), Cigna's median in North Carolina is $23.00 per 15 min, or $92.00 an hour, from 146 published rates. That is 29% below North Carolina Medicaid ($32.22). Cigna pays 1.64 times as much for analyst time as for technician time in North Carolina. Figures come from Cigna's October 2026 price-transparency files. 17 credential or modifier tiers are broken out in the workspace.
| Code | Cigna median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $14.00per 15 min | $56.00 | $20.81 | — | 145550 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $23.00per 15 min | $92.00 | $32.22 | — | 146548 providers |
Every ABA code Cigna publishes in North Carolina
Frequently asked questions
What does Cigna pay for 97153 in North Carolina?
The median of Cigna's published North Carolina rates for 97153 is $14.00 per 15 min ($56.00 per hour), from 145 rates and 550 providers in the October 2026 files.
What does Cigna pay for 97155 in North Carolina?
The median of Cigna's published North Carolina rates for 97155 is $23.00 per 15 min ($92.00 per hour), from 146 rates and 548 providers in the October 2026 files.
Does Cigna pay more than North Carolina Medicaid for ABA?
For 97153, Cigna's median is 33% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.