BCBS North Carolina reimbursement rates in New Mexico
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS North Carolina's published New Mexico rates is $34.01 per 15 min (7 rates, 15 providers). That is 5.3% above New Mexico Medicaid's fee-for-service rate of $32.31.
- Codes with a median
- 43
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs New Mexico Medicaid
Across 7 published rates from 15 providers, BCBS North Carolina pays a median of $34.01 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New Mexico. That is 14% below New Mexico Medicaid's fee-for-service rate of $39.69. BCBS North Carolina publishes New Mexico rates for 43 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | New Mexico Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $32.315.3% above | — | 715 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $39.6914% below | — | 715 providers |
All 43 BCBS North Carolina codes with a median in New Mexico
Frequently asked questions
What does BCBS North Carolina pay for 97153 in New Mexico?
The median of BCBS North Carolina's published New Mexico rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 7 rates and 15 providers in the September 2026 files.
Does BCBS North Carolina pay more than New Mexico Medicaid for 97153?
BCBS North Carolina's median is 5.3% above the Medicaid fee-for-service rate of $32.31 per 15 min.
What does BCBS North Carolina pay for 97155 in New Mexico?
The median of BCBS North Carolina's published New Mexico rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 7 rates and 15 providers in the September 2026 files.
Does BCBS North Carolina pay more than New Mexico Medicaid for 97155?
BCBS North Carolina's median is 14% below the Medicaid fee-for-service rate of $39.69 per 15 min.
How many codes does BCBS North Carolina publish rates for in New Mexico?
43 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in New Mexico. The full list, with ranges and modifier tiers, is in the workspace.