BCBS Minnesota reimbursement rates in South Dakota
BCBS Minnesota's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in South Dakota is $21.81 per 15 min, across 11 published rates from 49 providers. That is 44% below South Dakota Medicaid's fee-for-service rate of $39.00.
- Codes with a median
- 20
- 97155 median
- $21.81per 15 min
- Files
- September 2026
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BCBS Minnesota vs South Dakota Medicaid
For S9123 (nursing care, in the home; by registered nurse, per hour), the median of BCBS Minnesota's published South Dakota rates is $61.73 per hour (6 rates, 27 providers). That is 34% below South Dakota Medicaid's fee-for-service rate of $92.80. BCBS Minnesota publishes South Dakota rates for 20 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Minnesota median | Per hour | South Dakota Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.81per 15 min | $87.24 | $39.0044% below | — | 1149 providers |
| S9123Nursing care, in the home; by registered nurse, per hour | $61.73per hour | $61.73 | $92.8034% below | — | 627 providers |
All 20 BCBS Minnesota codes with a median in South Dakota
Frequently asked questions
What does BCBS Minnesota pay for 97155 in South Dakota?
The median of BCBS Minnesota's published South Dakota rates for 97155 is $21.81 per 15 min ($87.24 per hour), from 11 rates and 49 providers in the September 2026 files.
Does BCBS Minnesota pay more than South Dakota Medicaid for 97155?
BCBS Minnesota's median is 44% below the Medicaid fee-for-service rate of $39.00 per 15 min.
What does BCBS Minnesota pay for S9123 in South Dakota?
The median of BCBS Minnesota's published South Dakota rates for S9123 is $61.73 per hour, from 6 rates and 27 providers in the September 2026 files.
Does BCBS Minnesota pay more than South Dakota Medicaid for S9123?
BCBS Minnesota's median is 34% below the Medicaid fee-for-service rate of $92.80 per hour.
How many codes does BCBS Minnesota publish rates for in South Dakota?
20 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Minnesota median in South Dakota. The full list, with ranges and modifier tiers, is in the workspace.