BCBS North Carolina reimbursement rates in South Carolina
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS North Carolina's published South Carolina rates is $34.01 per 15 min (24 rates, 167 providers). That is 129% above South Carolina Medicaid's fee-for-service rate of $14.88.
- Codes with a median
- 90
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs South Carolina Medicaid
Across 24 published rates from 167 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 South Carolina. That is 60% above South Carolina Medicaid's fee-for-service rate of $21.25. BCBS North Carolina publishes South Carolina rates for 90 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $14.88129% above | — | 24167 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $21.2560% above | — | 24167 providers |
All 90 BCBS North Carolina codes with a median in South Carolina
Frequently asked questions
What does BCBS North Carolina pay for 97153 in South Carolina?
The median of BCBS North Carolina's published South Carolina rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 167 providers in the September 2026 files.
Does BCBS North Carolina pay more than South Carolina Medicaid for 97153?
BCBS North Carolina's median is 129% above the Medicaid fee-for-service rate of $14.88 per 15 min.
What does BCBS North Carolina pay for 97155 in South Carolina?
The median of BCBS North Carolina's published South Carolina rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 167 providers in the September 2026 files.
Does BCBS North Carolina pay more than South Carolina Medicaid for 97155?
BCBS North Carolina's median is 60% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does BCBS North Carolina publish rates for in South Carolina?
90 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in South Carolina. The full list, with ranges and modifier tiers, is in the workspace.