Skip to content
97154 · North Carolina · every payer

What every payer pays for 97154 in North Carolina

Across 7 commercial payers in North Carolina, the middle payer's median for 97154 (group ABA therapy by a technician) is $6.83 per 15 min. North Carolina Medicaid's fee-for-service rate, $11.37 per 15 min, is 67% above that commercial median.

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

Commercial median
$6.83per 15 min
North Carolina Medicaid
$11.37
On this page
Payer mix

97154 in North Carolina, by payer type

North Carolina Medicaid$11.37
Commercial (7 payers)$6.83
UnitedHealthcare$5.96
Aetna$15.55
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97154 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$5.96 per 15 min$23.84161
AetnaCommercial$15.55 per 15 min$62.2042
See every payer's 97154 rate in North Carolina

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

  • Every payer
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What do commercial payers pay for 97154 in North Carolina?

The median of 7 payers' medians is $6.83 per 15 min, from 265 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97154?

North Carolina Medicaid pays $11.37 per 15 min, 67% above the commercial median.

What does UnitedHealthcare pay for 97154 in North Carolina?

UnitedHealthcare's median is $5.96 per 15 min, from 161 rates and 271 providers.

What does Aetna pay for 97154 in North Carolina?

Aetna's median is $15.55 per 15 min, from 42 rates and 2234 providers.