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BCBS Illinois · Iowa · September 2026

BCBS Illinois reimbursement rates in Iowa

For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Illinois's published Iowa rates is $23.23 per 15 min (11 rates, 59 providers). That is 19% below Iowa Medicaid's fee-for-service rate of $28.59.

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

Codes with a median
93
97153 median
$23.23per 15 min
Files
September 2026
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Headline rates

BCBS Illinois vs Iowa Medicaid

Across 11 published rates from 57 providers, BCBS Illinois pays a median of $36.36 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Iowa. That is 1.2% below Iowa Medicaid's fee-for-service rate of $36.81. BCBS Illinois publishes Iowa rates for 93 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeBCBS Illinois medianPer hourIowa MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$23.23per 15 min$92.92$28.5919% below—1159 providers
97155ABA therapy led by the analyst (plan adjusted in session)$36.36per 15 min$145.44$36.811.2% below—1157 providers
BCBS Illinois median$23.23
Iowa Medicaid$28.59
97153, per 15 min. September 2026 files.
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All 93 BCBS Illinois codes with a median in Iowa

CodeMedianp25–p75vs Medicaid
See all 93 BCBS Illinois rates in Iowa

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FAQ

Frequently asked questions

What does BCBS Illinois pay for 97153 in Iowa?

The median of BCBS Illinois's published Iowa rates for 97153 is $23.23 per 15 min ($92.92 per hour), from 11 rates and 59 providers in the September 2026 files.

Does BCBS Illinois pay more than Iowa Medicaid for 97153?

BCBS Illinois's median is 19% below the Medicaid fee-for-service rate of $28.59 per 15 min.

What does BCBS Illinois pay for 97155 in Iowa?

The median of BCBS Illinois's published Iowa rates for 97155 is $36.36 per 15 min ($145.44 per hour), from 11 rates and 57 providers in the September 2026 files.

Does BCBS Illinois pay more than Iowa Medicaid for 97155?

BCBS Illinois's median is 1.2% below the Medicaid fee-for-service rate of $36.81 per 15 min.

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

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