BCBS Minnesota reimbursement rates in Minnesota
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Minnesota's published Minnesota rates is $21.81 per 15 min (16 rates, 2140 providers). That is 8.1% above Minnesota Medicaid's fee-for-service rate of $20.17.
- Codes with a median
- 25
- 97155 median
- $21.81per 15 min
- Files
- September 2026
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BCBS Minnesota vs Minnesota Medicaid
Across 9 published rates from 285 providers, BCBS Minnesota pays a median of $61.73 per hour for S9123 (nursing care, in the home; by registered nurse, per hour) in Minnesota. That is in line with Minnesota Medicaid's fee-for-service rate of $61.73. BCBS Minnesota publishes Minnesota rates for 25 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Minnesota median | Per hour | Minnesota Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.81per 15 min | $87.24 | $20.178.1% above | — | 162140 providers |
| S9123Nursing care, in the home; by registered nurse, per hour | $61.73per hour | $61.73 | $61.73in line with | — | 9285 providers |
All 25 BCBS Minnesota codes with a median in Minnesota
Frequently asked questions
What does BCBS Minnesota pay for 97155 in Minnesota?
The median of BCBS Minnesota's published Minnesota rates for 97155 is $21.81 per 15 min ($87.24 per hour), from 16 rates and 2140 providers in the September 2026 files.
Does BCBS Minnesota pay more than Minnesota Medicaid for 97155?
BCBS Minnesota's median is 8.1% above the Medicaid fee-for-service rate of $20.17 per 15 min.
What does BCBS Minnesota pay for S9123 in Minnesota?
The median of BCBS Minnesota's published Minnesota rates for S9123 is $61.73 per hour, from 9 rates and 285 providers in the September 2026 files.
Does BCBS Minnesota pay more than Minnesota Medicaid for S9123?
BCBS Minnesota's median is in line with the Medicaid fee-for-service rate of $61.73 per hour.
How many codes does BCBS Minnesota publish rates for in Minnesota?
25 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Minnesota median in Minnesota. The full list, with ranges and modifier tiers, is in the workspace.