BCBS North Carolina reimbursement rates in District of Columbia
BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in District of Columbia is $34.01 per 15 min, across 12 published rates from 7 providers. That is 24% above District of Columbia Medicaid's fee-for-service rate of $27.50.
- Codes with a median
- 47
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs District of Columbia Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published District of Columbia rates is $34.01 per 15 min (12 rates, 7 providers). That is 8.8% above District of Columbia Medicaid's fee-for-service rate of $31.25. BCBS North Carolina publishes District of Columbia rates for 47 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $27.5024% above | — | 127 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $31.258.8% above | — | 127 providers |
All 47 BCBS North Carolina codes with a median in District of Columbia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in District of Columbia?
The median of BCBS North Carolina's published District of Columbia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 12 rates and 7 providers in the September 2026 files.
Does BCBS North Carolina pay more than District of Columbia Medicaid for 97153?
BCBS North Carolina's median is 24% above the Medicaid fee-for-service rate of $27.50 per 15 min.
What does BCBS North Carolina pay for 97155 in District of Columbia?
The median of BCBS North Carolina's published District of Columbia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 12 rates and 7 providers in the September 2026 files.
Does BCBS North Carolina pay more than District of Columbia Medicaid for 97155?
BCBS North Carolina's median is 8.8% above the Medicaid fee-for-service rate of $31.25 per 15 min.
How many codes does BCBS North Carolina publish rates for in District of Columbia?
47 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in District of Columbia. The full list, with ranges and modifier tiers, is in the workspace.