BCBS Texas reimbursement rates in North Carolina
Across 5 published rates from 74 providers, BCBS Texas pays a median of $13.63 per 15 min for 97153 (one-on-one ABA therapy by a technician) in North Carolina. That is 35% below North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 65
- 97153 median
- $13.63per 15 min
- Files
- September 2026
On this page
BCBS Texas vs North Carolina Medicaid
BCBS Texas's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina is $25.42 per 15 min, across 5 published rates from 54 providers. That is 21% below North Carolina Medicaid's fee-for-service rate of $32.22. BCBS Texas publishes North Carolina rates for 65 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Texas median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $13.63per 15 min | $54.52 | $20.8135% below | — | 574 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.42per 15 min | $101.68 | $32.2221% below | — | 554 providers |
All 65 BCBS Texas codes with a median in North Carolina
Frequently asked questions
What does BCBS Texas pay for 97153 in North Carolina?
The median of BCBS Texas's published North Carolina rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 74 providers in the September 2026 files.
Does BCBS Texas pay more than North Carolina Medicaid for 97153?
BCBS Texas's median is 35% below the Medicaid fee-for-service rate of $20.81 per 15 min.
What does BCBS Texas pay for 97155 in North Carolina?
The median of BCBS Texas's published North Carolina rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 54 providers in the September 2026 files.
Does BCBS Texas pay more than North Carolina Medicaid for 97155?
BCBS Texas's median is 21% below the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does BCBS Texas publish rates for in North Carolina?
65 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Texas median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.