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BCBS Illinois · California · September 2026

BCBS Illinois reimbursement rates in California

BCBS Illinois's median rate for 97153 (one-on-one ABA therapy by a technician) in California is $19.75 per 15 min, across 13 published rates from 185 providers. California Medicaid publishes no comparable fee-for-service rate for 97153.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
87
97153 median
$19.75per 15 min
Files
September 2026
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Headline rates

BCBS Illinois vs California Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Illinois's published California rates is $30.91 per 15 min (13 rates, 184 providers). California Medicaid publishes no comparable fee-for-service rate for 97155. BCBS Illinois publishes California rates for 87 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeBCBS Illinois medianPer hourCalifornia MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$19.75per 15 min$79.00——13185 providers
97155ABA therapy led by the analyst (plan adjusted in session)$30.91per 15 min$123.64——13184 providers
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All 87 BCBS Illinois codes with a median in California

CodeMedianp25–p75vs Medicaid
See all 87 BCBS Illinois rates in California

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FAQ

Frequently asked questions

What does BCBS Illinois pay for 97153 in California?

The median of BCBS Illinois's published California rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 13 rates and 185 providers in the September 2026 files.

What does BCBS Illinois pay for 97155 in California?

The median of BCBS Illinois's published California rates for 97155 is $30.91 per 15 min ($123.64 per hour), from 13 rates and 184 providers in the September 2026 files.

How many codes does BCBS Illinois publish rates for in California?

87 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in California. The full list, with ranges and modifier tiers, is in the workspace.