Regence ABA reimbursement rates in North Carolina
Regence pays a median of $15.75 per 15 min ($63.00 an hour) for ABA therapy by a technician (97153) in North Carolina, across 7 rates and 54 providers. That is 24% below North Carolina Medicaid ($20.81).
- 97153 median
- $15.75per 15 min
- 97155 median
- $29.50per 15 min
- Files
- October 2026
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Regence vs North Carolina Medicaid and TRICARE
Regence pays a median of $29.50 per 15 min ($118.00 an hour) for protocol modification by the analyst (97155) in North Carolina, across 8 rates and 54 providers. That is 8.4% below North Carolina Medicaid ($32.22). Regence pays 1.87 times as much for analyst time as for technician time in North Carolina. Figures come from Regence's October 2026 price-transparency files.
| Code | Regence median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.75per 15 min | $63.00 | $20.81 | — | 754 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.50per 15 min | $118.00 | $32.22 | — | 854 providers |
Every ABA code Regence publishes in North Carolina
Frequently asked questions
What does Regence pay for 97153 in North Carolina?
The median of Regence's published North Carolina rates for 97153 is $15.75 per 15 min ($63.00 per hour), from 7 rates and 54 providers in the October 2026 files.
What does Regence pay for 97155 in North Carolina?
The median of Regence's published North Carolina rates for 97155 is $29.50 per 15 min ($118.00 per hour), from 8 rates and 54 providers in the October 2026 files.
Does Regence pay more than North Carolina Medicaid for ABA?
For 97153, Regence's median is 24% below the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.