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BCBS Illinois · Kentucky · September 2026

BCBS Illinois reimbursement rates in Kentucky

BCBS Illinois's median rate for 97153 (one-on-one ABA therapy by a technician) in Kentucky is $19.75 per 15 min, across 5 published rates from 23 providers. That is 62% above Kentucky Medicaid's fee-for-service rate of $12.18.

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

Codes with a median
57
97153 median
$19.75per 15 min
Files
September 2026
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Headline rates

BCBS Illinois vs Kentucky Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Illinois's published Kentucky rates is $30.73 per 15 min (5 rates, 19 providers). That is 42% above Kentucky Medicaid's fee-for-service rate of $21.59. BCBS Illinois publishes Kentucky rates for 57 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeBCBS Illinois medianPer hourKentucky MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$19.75per 15 min$79.00$12.1862% above—523 providers
97155ABA therapy led by the analyst (plan adjusted in session)$30.73per 15 min$122.92$21.5942% above—519 providers
BCBS Illinois median$19.75
Kentucky Medicaid$12.18
97153, per 15 min. September 2026 files.
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All 57 BCBS Illinois codes with a median in Kentucky

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FAQ

Frequently asked questions

What does BCBS Illinois pay for 97153 in Kentucky?

The median of BCBS Illinois's published Kentucky rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 5 rates and 23 providers in the September 2026 files.

Does BCBS Illinois pay more than Kentucky Medicaid for 97153?

BCBS Illinois's median is 62% above the Medicaid fee-for-service rate of $12.18 per 15 min.

What does BCBS Illinois pay for 97155 in Kentucky?

The median of BCBS Illinois's published Kentucky rates for 97155 is $30.73 per 15 min ($122.92 per hour), from 5 rates and 19 providers in the September 2026 files.

Does BCBS Illinois pay more than Kentucky Medicaid for 97155?

BCBS Illinois's median is 42% above the Medicaid fee-for-service rate of $21.59 per 15 min.

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

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