BCBS North Carolina reimbursement rates in Wisconsin
BCBS North Carolina's median rate for 97153 (one-on-one ABA therapy by a technician) in Wisconsin is $34.01 per 15 min, across 14 published rates from 18 providers. That is 63% above Wisconsin Medicaid's fee-for-service rate of $20.84.
- Codes with a median
- 73
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs Wisconsin Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS North Carolina's published Wisconsin rates is $34.01 per 15 min (14 rates, 18 providers). That is 48% above Wisconsin Medicaid's fee-for-service rate of $22.93. BCBS North Carolina publishes Wisconsin rates for 73 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $20.8463% above | — | 1418 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $22.9348% above | — | 1418 providers |
All 73 BCBS North Carolina codes with a median in Wisconsin
Frequently asked questions
What does BCBS North Carolina pay for 97153 in Wisconsin?
The median of BCBS North Carolina's published Wisconsin rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 14 rates and 18 providers in the September 2026 files.
Does BCBS North Carolina pay more than Wisconsin Medicaid for 97153?
BCBS North Carolina's median is 63% above the Medicaid fee-for-service rate of $20.84 per 15 min.
What does BCBS North Carolina pay for 97155 in Wisconsin?
The median of BCBS North Carolina's published Wisconsin rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 14 rates and 18 providers in the September 2026 files.
Does BCBS North Carolina pay more than Wisconsin Medicaid for 97155?
BCBS North Carolina's median is 48% above the Medicaid fee-for-service rate of $22.93 per 15 min.
How many codes does BCBS North Carolina publish rates for in Wisconsin?
73 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in Wisconsin. The full list, with ranges and modifier tiers, is in the workspace.