UnitedHealthcare ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), UnitedHealthcare's median in North Carolina is $42.46 per 15 min, or $169.84 an hour, from 166 published rates. That is 104% above North Carolina Medicaid ($20.81).
- 97153 median
- $42.46per 15 min
- 97155 median
- $42.46per 15 min
- Files
- October 2026
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UnitedHealthcare vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), UnitedHealthcare's median in North Carolina is $42.46 per 15 min, or $169.84 an hour, from 166 published rates. That is 32% above North Carolina Medicaid ($32.22). UnitedHealthcare pays 1.00 times as much for analyst time as for technician time in North Carolina. Figures come from UnitedHealthcare's October 2026 price-transparency files.
| Code | UnitedHealthcare median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $42.46per 15 min | $169.84 | $20.81 | — | 166267 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $42.46per 15 min | $169.84 | $32.22 | — | 166267 providers |
Every ABA code UnitedHealthcare publishes in North Carolina
Frequently asked questions
What does UnitedHealthcare pay for 97153 in North Carolina?
The median of UnitedHealthcare's published North Carolina rates for 97153 is $42.46 per 15 min ($169.84 per hour), from 166 rates and 267 providers in the October 2026 files.
What does UnitedHealthcare pay for 97155 in North Carolina?
The median of UnitedHealthcare's published North Carolina rates for 97155 is $42.46 per 15 min ($169.84 per hour), from 166 rates and 267 providers in the October 2026 files.
Does UnitedHealthcare pay more than North Carolina Medicaid for ABA?
For 97153, UnitedHealthcare's median is 104% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.