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97156 · North Carolina · every payer

What every payer pays for 97156 in North Carolina

Across 9 commercial payers in North Carolina, the middle payer's median for 97156 (ABA parent or caregiver training by the analyst) is $30.36 per 15 min. North Carolina Medicaid's fee-for-service rate, $23.70 per 15 min, is 22% below that commercial median.

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

Commercial median
$30.36per 15 min
North Carolina Medicaid
$23.70
TRICARE
$31.25
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Payer mix

97156 in North Carolina, by payer type

TRICARE pays $31.25 per 15 min.

North Carolina Medicaid$23.70
Commercial (9 payers)$30.36
TRICARE$31.25
UnitedHealthcare$43.68
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97156 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$43.68 per 15 min$174.72167
AetnaCommercial$20.97 per 15 min$83.8849
See every payer's 97156 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 97156 in North Carolina?

The median of 9 payers' medians is $30.36 per 15 min, from 303 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97156?

North Carolina Medicaid pays $23.70 per 15 min, 22% below the commercial median.

What does UnitedHealthcare pay for 97156 in North Carolina?

UnitedHealthcare's median is $43.68 per 15 min, from 167 rates and 267 providers.

What does Aetna pay for 97156 in North Carolina?

Aetna's median is $20.97 per 15 min, from 49 rates and 2250 providers.