Cigna reimbursement rates in North Carolina
Cigna's median rate for 97153 (one-on-one ABA therapy by a technician) in North Carolina is $14.00 per 15 min, across 145 published rates from 550 providers. That is 33% below North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 138
- 97153 median
- $14.00per 15 min
- Files
- October 2026
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Cigna vs North Carolina Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Cigna's published North Carolina rates is $23.00 per 15 min (146 rates, 548 providers). That is 29% below North Carolina Medicaid's fee-for-service rate of $32.22. Cigna publishes North Carolina rates for 138 of the codes we track. Figures are from the October 2026 files.
| Code | Cigna median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $14.00per 15 min | $56.00 | $20.8133% below | — | 145550 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $23.00per 15 min | $92.00 | $32.2229% below | — | 146548 providers |
All 138 Cigna codes with a median in North Carolina
Frequently asked questions
What does Cigna pay for 97153 in North Carolina?
The median of Cigna's published North Carolina rates for 97153 is $14.00 per 15 min ($56.00 per hour), from 145 rates and 550 providers in the October 2026 files.
Does Cigna pay more than North Carolina Medicaid for 97153?
Cigna's median is 33% below the Medicaid fee-for-service rate of $20.81 per 15 min.
What does Cigna pay for 97155 in North Carolina?
The median of Cigna's published North Carolina rates for 97155 is $23.00 per 15 min ($92.00 per hour), from 146 rates and 548 providers in the October 2026 files.
Does Cigna pay more than North Carolina Medicaid for 97155?
Cigna's median is 29% below the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does Cigna publish rates for in North Carolina?
138 of the behavioral health, ABA, therapy, home health and other codes we track have a Cigna median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.