BCBS North Carolina reimbursement rates in New York
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS North Carolina's published New York rates is $34.01 per 15 min (20 rates, 114 providers). That is 253% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 76
- 97153 median
- $34.01per 15 min
- Files
- September 2026
On this page
BCBS North Carolina vs New York Medicaid
Across 20 published rates from 114 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 York. That is 77% above New York Medicaid's fee-for-service rate of $19.26. BCBS North Carolina publishes New York rates for 76 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 York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $9.63253% above | — | 20114 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $19.2677% above | — | 20114 providers |
All 76 BCBS North Carolina codes with a median in New York
Frequently asked questions
What does BCBS North Carolina pay for 97153 in New York?
The median of BCBS North Carolina's published New York rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 20 rates and 114 providers in the September 2026 files.
Does BCBS North Carolina pay more than New York Medicaid for 97153?
BCBS North Carolina's median is 253% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does BCBS North Carolina pay for 97155 in New York?
The median of BCBS North Carolina's published New York rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 20 rates and 114 providers in the September 2026 files.
Does BCBS North Carolina pay more than New York Medicaid for 97155?
BCBS North Carolina's median is 77% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does BCBS North Carolina publish rates for in New York?
76 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in New York. The full list, with ranges and modifier tiers, is in the workspace.