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BCBS North Carolina · California · September 2026

BCBS North Carolina reimbursement rates in California

BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in California is $34.01 per 15 min, across 27 published rates from 211 providers. California Medicaid publishes no comparable fee-for-service rate for 97153.

Updated 2026-10-09Source: payer price-transparency files

Codes with a median
76
97153 median
$34.01per 15 min
Files
September 2026
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Headline rates

BCBS North Carolina vs California Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published California rates is $34.01 per 15 min (27 rates, 211 providers). California Medicaid publishes no comparable fee-for-service rate for 97155. BCBS North Carolina publishes California rates for 76 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeBCBS North Carolina medianPer hourCalifornia MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$34.01per 15 min$136.04——27211 providers
97155ABA therapy led by the analyst (plan adjusted in session)$34.01per 15 min$136.04——27211 providers
Every code

All 76 BCBS North Carolina codes with a median in California

CodeMedianp25–p75vs Medicaid
See all 76 BCBS North Carolina rates in California

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FAQ

Frequently asked questions

What does BCBS North Carolina pay for 97153 in California?

The median of BCBS North Carolina's published California rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 27 rates and 211 providers in the September 2026 files.

What does BCBS North Carolina pay for 97155 in California?

The median of BCBS North Carolina's published California rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 27 rates and 211 providers in the September 2026 files.

How many codes does BCBS North Carolina publish rates for in California?

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