UnitedHealthcare reimbursement rates in South Carolina
UnitedHealthcare's median rate for 97153 (one-on-one ABA therapy by a technician) in South Carolina is $44.63 per 15 min, across 87 published rates from 108 providers. That is 200% above South Carolina Medicaid's fee-for-service rate of $14.88.
- Codes with a median
- 77
- 97153 median
- $44.63per 15 min
- Files
- October 2026
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UnitedHealthcare vs South Carolina Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of UnitedHealthcare's published South Carolina rates is $44.63 per 15 min (87 rates, 108 providers). That is 110% above South Carolina Medicaid's fee-for-service rate of $21.25. UnitedHealthcare publishes South Carolina rates for 77 of the codes we track. Figures are from the October 2026 files.
| Code | UnitedHealthcare median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $44.63per 15 min | $178.52 | $14.88200% above | — | 87108 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $44.63per 15 min | $178.52 | $21.25110% above | — | 87108 providers |
All 77 UnitedHealthcare codes with a median in South Carolina
Frequently asked questions
What does UnitedHealthcare pay for 97153 in South Carolina?
The median of UnitedHealthcare's published South Carolina rates for 97153 is $44.63 per 15 min ($178.52 per hour), from 87 rates and 108 providers in the October 2026 files.
Does UnitedHealthcare pay more than South Carolina Medicaid for 97153?
UnitedHealthcare's median is 200% above the Medicaid fee-for-service rate of $14.88 per 15 min.
What does UnitedHealthcare pay for 97155 in South Carolina?
The median of UnitedHealthcare's published South Carolina rates for 97155 is $44.63 per 15 min ($178.52 per hour), from 87 rates and 108 providers in the October 2026 files.
Does UnitedHealthcare pay more than South Carolina Medicaid for 97155?
UnitedHealthcare's median is 110% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does UnitedHealthcare publish rates for in South Carolina?
77 of the behavioral health, ABA, therapy, home health and other codes we track have a UnitedHealthcare median in South Carolina. The full list, with ranges and modifier tiers, is in the workspace.