BCBS North Carolina reimbursement rates in North Carolina
Across 44 published rates from 5955 providers, BCBS North Carolina pays a median of $32.47 per 15 min for 97153 (one-on-one ABA therapy by a technician) in North Carolina. That is 56% above North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 178
- 97153 median
- $32.47per 15 min
- Files
- September 2026
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BCBS North Carolina vs North Carolina Medicaid
BCBS North Carolina's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina is $32.47 per 15 min, across 44 published rates from 5955 providers. That is 0.8% above North Carolina Medicaid's fee-for-service rate of $32.22. BCBS North Carolina publishes North Carolina rates for 178 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $32.47per 15 min | $129.88 | $20.8156% above | — | 445955 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.47per 15 min | $129.88 | $32.220.8% above | — | 445955 providers |
All 178 BCBS North Carolina codes with a median in North Carolina
Frequently asked questions
What does BCBS North Carolina pay for 97153 in North Carolina?
The median of BCBS North Carolina's published North Carolina rates for 97153 is $32.47 per 15 min ($129.88 per hour), from 44 rates and 5955 providers in the September 2026 files.
Does BCBS North Carolina pay more than North Carolina Medicaid for 97153?
BCBS North Carolina's median is 56% above the Medicaid fee-for-service rate of $20.81 per 15 min.
What does BCBS North Carolina pay for 97155 in North Carolina?
The median of BCBS North Carolina's published North Carolina rates for 97155 is $32.47 per 15 min ($129.88 per hour), from 44 rates and 5955 providers in the September 2026 files.
Does BCBS North Carolina pay more than North Carolina Medicaid for 97155?
BCBS North Carolina's median is 0.8% above the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does BCBS North Carolina publish rates for in North Carolina?
178 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.