BCBS North Carolina reimbursement rates in Virginia
BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in Virginia is $34.01 per 15 min, across 24 published rates from 153 providers. That is 45% above Virginia Medicaid's fee-for-service rate of $23.48.
- Codes with a median
- 76
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs Virginia Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published Virginia rates is $34.01 per 15 min (24 rates, 153 providers). That is 14% below Virginia Medicaid's fee-for-service rate of $39.40. BCBS North Carolina publishes Virginia 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 | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $23.4845% above | — | 24153 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $39.4014% below | — | 24153 providers |
All 76 BCBS North Carolina codes with a median in Virginia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Virginia?
The median of BCBS North Carolina's published Virginia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 153 providers in the September 2026 files.
Does BCBS North Carolina pay more than Virginia Medicaid for 97153?
BCBS North Carolina's median is 45% above the Medicaid fee-for-service rate of $23.48 per 15 min.
What does BCBS North Carolina pay for 97155 in Virginia?
The median of BCBS North Carolina's published Virginia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 24 rates and 153 providers in the September 2026 files.
Does BCBS North Carolina pay more than Virginia Medicaid for 97155?
BCBS North Carolina's median is 14% below the Medicaid fee-for-service rate of $39.40 per 15 min.
How many codes does BCBS North Carolina publish rates for in Virginia?
76 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Virginia. The full list, with ranges and modifier tiers, is in the workspace.