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97158 · North Carolina · every payer

What every payer pays for 97158 in North Carolina

Across 4 commercial payers in North Carolina, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $7.00 per 15 min. North Carolina Medicaid publishes no fee-for-service rate for 97158.

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

Open the payer mixNorth Carolina Medicaid rates
Commercial median
$7.00per 15 min
North Carolina Medicaid
—
TRICARE
$7.44
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Payer mix

97158 in North Carolina, by payer type

TRICARE pays $7.44 per 15 min.

Commercial (4 payers)$7.00
TRICARE$7.44
UnitedHealthcare$6.81
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$6.81 per 15 min$27.24158
AetnaCommercial$20.97 per 15 min$83.8843
See every payer's 97158 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 97158 in North Carolina?

The median of 4 payers' medians is $7.00 per 15 min, from 243 published rates in the October 2026 files.

What does UnitedHealthcare pay for 97158 in North Carolina?

UnitedHealthcare's median is $6.81 per 15 min, from 158 rates and 271 providers.

What does Aetna pay for 97158 in North Carolina?

Aetna's median is $20.97 per 15 min, from 43 rates and 2233 providers.

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