BCBS North Carolina reimbursement rates in Utah
BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in Utah is $34.01 per 15 min, across 11 published rates from 31 providers. That is 73% above Utah Medicaid's fee-for-service rate of $19.67.
- Codes with a median
- 74
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs Utah Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published Utah rates is $34.01 per 15 min (11 rates, 31 providers). That is 9.3% below Utah Medicaid's fee-for-service rate of $37.51. BCBS North Carolina publishes Utah rates for 74 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | Utah Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $19.6773% above | — | 1131 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $37.519.3% below | — | 1131 providers |
All 74 BCBS North Carolina codes with a median in Utah
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Utah?
The median of BCBS North Carolina's published Utah rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 11 rates and 31 providers in the September 2026 files.
Does BCBS North Carolina pay more than Utah Medicaid for 97153?
BCBS North Carolina's median is 73% above the Medicaid fee-for-service rate of $19.67 per 15 min.
What does BCBS North Carolina pay for 97155 in Utah?
The median of BCBS North Carolina's published Utah rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 11 rates and 31 providers in the September 2026 files.
Does BCBS North Carolina pay more than Utah Medicaid for 97155?
BCBS North Carolina's median is 9.3% below the Medicaid fee-for-service rate of $37.51 per 15 min.
How many codes does BCBS North Carolina publish rates for in Utah?
74 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Utah. The full list, with ranges and modifier tiers, is in the workspace.