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BCBS Tennessee · Iowa · September 2026

BCBS Tennessee reimbursement rates in Iowa

For 97153 (one-on-one ABA therapy by a technician), the median of BCBS Tennessee's published Iowa rates is $34.78 per 15 min (6 rates, 7 providers). That is 22% above Iowa Medicaid's fee-for-service rate of $28.59.

Updated 2026-10-09Source: payer price-transparency files

Codes with a median
42
97153 median
$34.78per 15 min
Files
September 2026
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Headline rates

BCBS Tennessee vs Iowa Medicaid

Across 6 published rates from 7 providers, BCBS Tennessee pays a median of $34.78 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Iowa. That is 5.5% below Iowa Medicaid's fee-for-service rate of $36.81. BCBS Tennessee publishes Iowa rates for 42 of the codes we track. Figures are from the September 2026 files.

CodeBCBS Tennessee medianPer hourIowa MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$34.78per 15 min$139.12$28.5922% above—67 providers
97155ABA therapy led by the analyst (plan adjusted in session)$34.78per 15 min$139.12$36.815.5% below—67 providers
BCBS Tennessee median$34.78
Iowa Medicaid$28.59
97153, per 15 min. September 2026 files.
Every code

All 42 BCBS Tennessee codes with a median in Iowa

CodeMedianp25–p75vs Medicaid
See all 42 BCBS Tennessee rates in Iowa

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FAQ

Frequently asked questions

What does BCBS Tennessee pay for 97153 in Iowa?

The median of BCBS Tennessee's published Iowa rates for 97153 is $34.78 per 15 min ($139.12 per hour), from 6 rates and 7 providers in the September 2026 files.

Does BCBS Tennessee pay more than Iowa Medicaid for 97153?

BCBS Tennessee's median is 22% above the Medicaid fee-for-service rate of $28.59 per 15 min.

What does BCBS Tennessee pay for 97155 in Iowa?

The median of BCBS Tennessee's published Iowa rates for 97155 is $34.78 per 15 min ($139.12 per hour), from 6 rates and 7 providers in the September 2026 files.

Does BCBS Tennessee pay more than Iowa Medicaid for 97155?

BCBS Tennessee's median is 5.5% below the Medicaid fee-for-service rate of $36.81 per 15 min.

How many codes does BCBS Tennessee publish rates for in Iowa?

42 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Tennessee median in Iowa. The full list, with ranges and modifier tiers, is in the workspace.