BCBS North Carolina reimbursement rates in West Virginia
Across 8 published rates from 8 providers, BCBS North Carolina pays a median of $34.01 per 15 min for 97153 (one-on-one ABA therapy by a technician) in West Virginia. That is 244% above West Virginia Medicaid's fee-for-service rate of $9.90.
- Codes with a median
- 74
- 97153 median
- $34.01per 15 min
- Files
- September 2026
On this page
BCBS North Carolina vs West Virginia Medicaid
BCBS North Carolina's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in West Virginia is $34.01 per 15 min, across 8 published rates from 8 providers. That is 17% above West Virginia Medicaid's fee-for-service rate of $29.14. BCBS North Carolina publishes West Virginia 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 | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $9.90244% above | — | 88 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $29.1417% above | — | 88 providers |
All 74 BCBS North Carolina codes with a median in West Virginia
Frequently asked questions
What does BCBS North Carolina pay for 97153 in West Virginia?
The median of BCBS North Carolina's published West Virginia rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 8 rates and 8 providers in the September 2026 files.
Does BCBS North Carolina pay more than West Virginia Medicaid for 97153?
BCBS North Carolina's median is 244% above the Medicaid fee-for-service rate of $9.90 per 15 min.
What does BCBS North Carolina pay for 97155 in West Virginia?
The median of BCBS North Carolina's published West Virginia rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 8 rates and 8 providers in the September 2026 files.
Does BCBS North Carolina pay more than West Virginia Medicaid for 97155?
BCBS North Carolina's median is 17% above the Medicaid fee-for-service rate of $29.14 per 15 min.
How many codes does BCBS North Carolina publish rates for in West Virginia?
74 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in West Virginia. The full list, with ranges and modifier tiers, is in the workspace.