BCBS North Carolina reimbursement rates in Texas
BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in Texas is $34.01 per 15 min, across 22 published rates from 148 providers. That is 135% above Texas Medicaid's fee-for-service rate of $14.50.
- Codes with a median
- 76
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs Texas Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published Texas rates is $34.01 per 15 min (22 rates, 148 providers). That is 36% above Texas Medicaid's fee-for-service rate of $25.10. BCBS North Carolina publishes Texas 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 | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $14.50135% above | — | 22148 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $25.1036% above | — | 22148 providers |
All 76 BCBS North Carolina codes with a median in Texas
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Texas?
The median of BCBS North Carolina's published Texas rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 22 rates and 148 providers in the September 2026 files.
Does BCBS North Carolina pay more than Texas Medicaid for 97153?
BCBS North Carolina's median is 135% above the Medicaid fee-for-service rate of $14.50 per 15 min.
What does BCBS North Carolina pay for 97155 in Texas?
The median of BCBS North Carolina's published Texas rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 22 rates and 148 providers in the September 2026 files.
Does BCBS North Carolina pay more than Texas Medicaid for 97155?
BCBS North Carolina's median is 36% above the Medicaid fee-for-service rate of $25.10 per 15 min.
How many codes does BCBS North Carolina publish rates for in Texas?
76 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Texas. The full list, with ranges and modifier tiers, is in the workspace.