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Kaiser Permanente · North Carolina · October 2026

Kaiser Permanente reimbursement rates in North Carolina

Across 20 published rates from 12 providers, Kaiser Permanente pays a median of $50.27 per 15 min for 97153 (one-on-one ABA therapy by a technician) in North Carolina. That is 142% above North Carolina Medicaid's fee-for-service rate of $20.81.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
76
97153 median
$50.27per 15 min
Files
October 2026
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Headline rates

Kaiser Permanente vs North Carolina Medicaid

Kaiser Permanente's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina is $49.17 per 15 min, across 20 published rates from 12 providers. That is 53% above North Carolina Medicaid's fee-for-service rate of $32.22. Kaiser Permanente publishes North Carolina rates for 76 of the codes we track. Figures are from the October 2026 files.

CodeKaiser Permanente medianPer hourNorth Carolina MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$50.27per 15 min$201.08$20.81142% above—2012 providers
97155ABA therapy led by the analyst (plan adjusted in session)$49.17per 15 min$196.68$32.2253% above—2012 providers
Kaiser Permanente median$50.27
North Carolina Medicaid$20.81
97153, per 15 min. October 2026 files.
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All 76 Kaiser Permanente codes with a median in North Carolina

CodeMedianp25–p75vs Medicaid
See all 76 Kaiser Permanente rates in North Carolina

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FAQ

Frequently asked questions

What does Kaiser Permanente pay for 97153 in North Carolina?

The median of Kaiser Permanente's published North Carolina rates for 97153 is $50.27 per 15 min ($201.08 per hour), from 20 rates and 12 providers in the October 2026 files.

Does Kaiser Permanente pay more than North Carolina Medicaid for 97153?

Kaiser Permanente's median is 142% above the Medicaid fee-for-service rate of $20.81 per 15 min.

What does Kaiser Permanente pay for 97155 in North Carolina?

The median of Kaiser Permanente's published North Carolina rates for 97155 is $49.17 per 15 min ($196.68 per hour), from 20 rates and 12 providers in the October 2026 files.

Does Kaiser Permanente pay more than North Carolina Medicaid for 97155?

Kaiser Permanente's median is 53% above the Medicaid fee-for-service rate of $32.22 per 15 min.

How many codes does Kaiser Permanente publish rates for in North Carolina?

76 of the behavioral health, ABA, therapy, home health and other codes we track have a Kaiser Permanente median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.