BCBS North Carolina reimbursement rates in Maryland
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS North Carolina's published Maryland rates is $32.47 per 15 min (15 rates, 54 providers). That is 55% above Maryland Medicaid's fee-for-service rate of $20.91.
- Codes with a median
- 75
- 97153 median
- $32.47per 15 min
- Files
- September 2026
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BCBS North Carolina vs Maryland Medicaid
Across 15 published rates from 54 providers, BCBS North Carolina pays a median of $32.47 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Maryland. That is 15% below Maryland Medicaid's fee-for-service rate of $38.34. BCBS North Carolina publishes Maryland rates for 75 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | Maryland Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $32.47per 15 min | $129.88 | $20.9155% above | — | 1554 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.47per 15 min | $129.88 | $38.3415% below | — | 1554 providers |
All 75 BCBS North Carolina codes with a median in Maryland
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Maryland?
The median of BCBS North Carolina's published Maryland rates for 97153 is $32.47 per 15 min ($129.88 per hour), from 15 rates and 54 providers in the September 2026 files.
Does BCBS North Carolina pay more than Maryland Medicaid for 97153?
BCBS North Carolina's median is 55% above the Medicaid fee-for-service rate of $20.91 per 15 min.
What does BCBS North Carolina pay for 97155 in Maryland?
The median of BCBS North Carolina's published Maryland rates for 97155 is $32.47 per 15 min ($129.88 per hour), from 15 rates and 54 providers in the September 2026 files.
Does BCBS North Carolina pay more than Maryland Medicaid for 97155?
BCBS North Carolina's median is 15% below the Medicaid fee-for-service rate of $38.34 per 15 min.
How many codes does BCBS North Carolina publish rates for in Maryland?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Maryland. The full list, with ranges and modifier tiers, is in the workspace.