Skip to content
BCBS North Carolina · Kentucky · September 2026

BCBS North Carolina reimbursement rates in Kentucky

BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in Kentucky is $34.01 per 15 min, across 10 published rates from 31 providers. That is 179% above Kentucky Medicaid's fee-for-service rate of $12.18.

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

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

BCBS North Carolina vs Kentucky Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published Kentucky rates is $34.01 per 15 min (10 rates, 31 providers). That is 58% above Kentucky Medicaid's fee-for-service rate of $21.59. BCBS North Carolina publishes Kentucky rates for 76 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeBCBS North Carolina medianPer hourKentucky MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$34.01per 15 min$136.04$12.18179% above—1031 providers
97155ABA therapy led by the analyst (plan adjusted in session)$34.01per 15 min$136.04$21.5958% above—1031 providers
BCBS North Carolina median$34.01
Kentucky Medicaid$12.18
97153, per 15 min. September 2026 files.
Every code

All 76 BCBS North Carolina codes with a median in Kentucky

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

Median, p25–p75 range, n, per-hour equivalent and the gap to Medicaid and TRICARE for every code. 7-day free trial.

  • Every tracked code
  • Ranges and n
  • CSV export
FAQ

Frequently asked questions

What does BCBS North Carolina pay for 97153 in Kentucky?

The median of BCBS North Carolina's published Kentucky rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 10 rates and 31 providers in the September 2026 files.

Does BCBS North Carolina pay more than Kentucky Medicaid for 97153?

BCBS North Carolina's median is 179% above the Medicaid fee-for-service rate of $12.18 per 15 min.

What does BCBS North Carolina pay for 97155 in Kentucky?

The median of BCBS North Carolina's published Kentucky rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 10 rates and 31 providers in the September 2026 files.

Does BCBS North Carolina pay more than Kentucky Medicaid for 97155?

BCBS North Carolina's median is 58% above the Medicaid fee-for-service rate of $21.59 per 15 min.

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

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