BCBS Texas reimbursement rates in Texas
BCBS Texas's median rate for 97153 (one-on-one ABA therapy by a technician) in Texas is $13.63 per 15 min, across 5 published rates from 6521 providers. That is 6.0% below Texas Medicaid's fee-for-service rate of $14.50.
- Codes with a median
- 73
- 97153 median
- $13.63per 15 min
- Files
- September 2026
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BCBS Texas vs Texas Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Texas's published Texas rates is $25.42 per 15 min (5 rates, 6091 providers). That is 1.3% above Texas Medicaid's fee-for-service rate of $25.10. BCBS Texas publishes Texas rates for 73 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Texas median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $13.63per 15 min | $54.52 | $14.506.0% below | — | 56521 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $25.42per 15 min | $101.68 | $25.101.3% above | — | 56091 providers |
All 73 BCBS Texas codes with a median in Texas
Frequently asked questions
What does BCBS Texas pay for 97153 in Texas?
The median of BCBS Texas's published Texas rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 6521 providers in the September 2026 files.
Does BCBS Texas pay more than Texas Medicaid for 97153?
BCBS Texas's median is 6.0% below the Medicaid fee-for-service rate of $14.50 per 15 min.
What does BCBS Texas pay for 97155 in Texas?
The median of BCBS Texas's published Texas rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 6091 providers in the September 2026 files.
Does BCBS Texas pay more than Texas Medicaid for 97155?
BCBS Texas's median is 1.3% above the Medicaid fee-for-service rate of $25.10 per 15 min.
How many codes does BCBS Texas publish rates for in Texas?
73 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Texas median in Texas. The full list, with ranges and modifier tiers, is in the workspace.