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97153 · North Carolina · every payer

What every payer pays for 97153 in North Carolina

8 commercial payers publish North Carolina rates for 97153 (one-on-one ABA therapy by a technician), and the median of their medians is $19.75 per 15 min. North Carolina Medicaid's fee-for-service rate, $20.81 per 15 min, is 5.4% above that commercial median.

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

Commercial median
$19.75per 15 min
North Carolina Medicaid
$20.81
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Payer mix

97153 in North Carolina, by payer type

North Carolina Medicaid$20.81
Commercial (8 payers)$19.75
UnitedHealthcare$42.46
Aetna$15.55
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97153 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$42.46 per 15 min$169.84166
AetnaCommercial$15.55 per 15 min$62.2052
See every payer's 97153 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 97153 in North Carolina?

The median of 8 payers' medians is $19.75 per 15 min, from 296 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97153?

North Carolina Medicaid pays $20.81 per 15 min, 5.4% above the commercial median.

What does UnitedHealthcare pay for 97153 in North Carolina?

UnitedHealthcare's median is $42.46 per 15 min, from 166 rates and 267 providers.

What does Aetna pay for 97153 in North Carolina?

Aetna's median is $15.55 per 15 min, from 52 rates and 2251 providers.