BCBS Illinois reimbursement rates in North Carolina
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Illinois's published North Carolina rates is $19.75 per 15 min (6 rates, 52 providers). That is 5.1% below North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 61
- 97153 median
- $19.75per 15 min
- Files
- September 2026
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BCBS Illinois vs North Carolina Medicaid
Across 6 published rates from 50 providers, BCBS Illinois pays a median of $30.91 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina. That is 4.1% below North Carolina Medicaid's fee-for-service rate of $32.22. BCBS Illinois publishes North Carolina rates for 61 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS Illinois median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.75per 15 min | $79.00 | $20.815.1% below | — | 652 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.91per 15 min | $123.64 | $32.224.1% below | — | 650 providers |
All 61 BCBS Illinois codes with a median in North Carolina
Frequently asked questions
What does BCBS Illinois pay for 97153 in North Carolina?
The median of BCBS Illinois's published North Carolina rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 6 rates and 52 providers in the September 2026 files.
Does BCBS Illinois pay more than North Carolina Medicaid for 97153?
BCBS Illinois's median is 5.1% below the Medicaid fee-for-service rate of $20.81 per 15 min.
What does BCBS Illinois pay for 97155 in North Carolina?
The median of BCBS Illinois's published North Carolina rates for 97155 is $30.91 per 15 min ($123.64 per hour), from 6 rates and 50 providers in the September 2026 files.
Does BCBS Illinois pay more than North Carolina Medicaid for 97155?
BCBS Illinois's median is 4.1% below the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does BCBS Illinois publish rates for in North Carolina?
61 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.