BCBS North Carolina reimbursement rates in Vermont
Across 6 published rates from 4 providers, BCBS North Carolina pays a median of $32.47 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Vermont. That is 117% above Vermont Medicaid's fee-for-service rate of $15.00.
- Codes with a median
- 47
- 97153 median
- $32.47per 15 min
- Files
- September 2026
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BCBS North Carolina vs Vermont Medicaid
BCBS North Carolina's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Vermont is $32.47 per 15 min, across 6 published rates from 4 providers. That is 34% below Vermont Medicaid's fee-for-service rate of $49.35. BCBS North Carolina publishes Vermont rates for 47 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | Vermont Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $32.47per 15 min | $129.88 | $15.00117% above | — | 64 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.47per 15 min | $129.88 | $49.3534% below | — | 64 providers |
All 47 BCBS North Carolina codes with a median in Vermont
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Vermont?
The median of BCBS North Carolina's published Vermont rates for 97153 is $32.47 per 15 min ($129.88 per hour), from 6 rates and 4 providers in the September 2026 files.
Does BCBS North Carolina pay more than Vermont Medicaid for 97153?
BCBS North Carolina's median is 117% above the Medicaid fee-for-service rate of $15.00 per 15 min.
What does BCBS North Carolina pay for 97155 in Vermont?
The median of BCBS North Carolina's published Vermont rates for 97155 is $32.47 per 15 min ($129.88 per hour), from 6 rates and 4 providers in the September 2026 files.
Does BCBS North Carolina pay more than Vermont Medicaid for 97155?
BCBS North Carolina's median is 34% below the Medicaid fee-for-service rate of $49.35 per 15 min.
How many codes does BCBS North Carolina publish rates for in Vermont?
47 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Vermont. The full list, with ranges and modifier tiers, is in the workspace.