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97151 · North Carolina · every payer

What every payer pays for 97151 in North Carolina

6 commercial payers publish North Carolina rates for 97151 (behavior assessment and treatment plan by the analyst), and the median of their medians is $32.72 per 15 min. North Carolina Medicaid's fee-for-service rate, $30.56 per 15 min, is 6.6% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$32.72per 15 min
North Carolina Medicaid
$30.56
TRICARE
$32.55
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Payer mix

97151 in North Carolina, by payer type

TRICARE pays $32.55 per 15 min.

North Carolina Medicaid$30.56
Commercial (6 payers)$32.72
TRICARE$32.55
UnitedHealthcare$59.50
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97151 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$59.50 per 15 min$238.00165
AetnaCommercial$20.97 per 15 min$83.8850
See every payer's 97151 rate in North Carolina

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97151 in North Carolina?

The median of 6 payers' medians is $32.72 per 15 min, from 283 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97151?

North Carolina Medicaid pays $30.56 per 15 min, 6.6% below the commercial median.

What does UnitedHealthcare pay for 97151 in North Carolina?

UnitedHealthcare's median is $59.50 per 15 min, from 165 rates and 259 providers.

What does Aetna pay for 97151 in North Carolina?

Aetna's median is $20.97 per 15 min, from 50 rates and 2252 providers.