Highmark BCBS ABA reimbursement rates in West Virginia
Highmark BCBS pays a median of $19.72 per 15 min ($78.88 an hour) for ABA therapy by a technician (97153) in West Virginia, across 6 rates and 9 providers. That is 99% above West Virginia Medicaid ($9.90).
- 97153 median
- $19.72per 15 min
- 97155 median
- $19.72per 15 min
- Files
- October 2026
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Highmark BCBS vs West Virginia Medicaid and TRICARE
Highmark BCBS pays a median of $19.72 per 15 min ($78.88 an hour) for protocol modification by the analyst (97155) in West Virginia, across 5 rates and 8 providers. That is 32% below West Virginia Medicaid ($29.14). Highmark BCBS pays 1.00 times as much for analyst time as for technician time in West Virginia. Figures come from Highmark BCBS's October 2026 price-transparency files. 39 credential or modifier tiers are broken out in the workspace.
| Code | Highmark BCBS median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.72per 15 min | $78.88 | $9.90 | — | 69 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $19.72per 15 min | $78.88 | $29.14 | — | 58 providers |
Every ABA code Highmark BCBS publishes in West Virginia
Frequently asked questions
What does Highmark BCBS pay for 97153 in West Virginia?
The median of Highmark BCBS's published West Virginia rates for 97153 is $19.72 per 15 min ($78.88 per hour), from 6 rates and 9 providers in the October 2026 files.
What does Highmark BCBS pay for 97155 in West Virginia?
The median of Highmark BCBS's published West Virginia rates for 97155 is $19.72 per 15 min ($78.88 per hour), from 5 rates and 8 providers in the October 2026 files.
Does Highmark BCBS pay more than West Virginia Medicaid for ABA?
For 97153, Highmark BCBS's median is 99% above the West Virginia Medicaid fee-for-service rate of $9.90 per 15 min.