Highmark BCBS reimbursement rates in West Virginia
Across 6 published rates from 9 providers, Highmark BCBS pays a median of $19.72 per 15 min for 97153 (one-on-one ABA therapy by a technician) in West Virginia. That is 99% above West Virginia Medicaid's fee-for-service rate of $9.90.
- Codes with a median
- 35
- 97153 median
- $19.72per 15 min
- Files
- October 2026
On this page
Highmark BCBS vs West Virginia Medicaid
Highmark BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in West Virginia is $19.72 per 15 min, across 5 published rates from 8 providers. That is 32% below West Virginia Medicaid's fee-for-service rate of $29.14. Highmark BCBS publishes West Virginia rates for 35 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the October 2026 files.
| Code | Highmark BCBS median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.72per 15 min | $78.88 | $9.9099% above | — | 69 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $19.72per 15 min | $78.88 | $29.1432% below | — | 58 providers |
All 35 Highmark BCBS codes with a median in West Virginia
Frequently asked questions
What does Highmark BCBS pay for 97153 in West Virginia?
The median of Highmark BCBS's published West Virginia rates for 97153 is $19.72 per 15 min ($78.88 per hour), from 6 rates and 9 providers in the October 2026 files.
Does Highmark BCBS pay more than West Virginia Medicaid for 97153?
Highmark BCBS's median is 99% above the Medicaid fee-for-service rate of $9.90 per 15 min.
What does Highmark BCBS pay for 97155 in West Virginia?
The median of Highmark BCBS's published West Virginia rates for 97155 is $19.72 per 15 min ($78.88 per hour), from 5 rates and 8 providers in the October 2026 files.
Does Highmark BCBS pay more than West Virginia Medicaid for 97155?
Highmark BCBS's median is 32% below the Medicaid fee-for-service rate of $29.14 per 15 min.
How many codes does Highmark BCBS publish rates for in West Virginia?
35 of the behavioral health, ABA, therapy, home health and other codes we track have a Highmark BCBS median in West Virginia. The full list, with ranges and modifier tiers, is in the workspace.