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97155 · North Carolina · every payer

What every payer pays for 97155 in North Carolina

8 commercial payers publish North Carolina rates for 97155 (ABA therapy led by the analyst (plan adjusted in session)), and the median of their medians is $25.42 per 15 min. North Carolina Medicaid's fee-for-service rate, $32.22 per 15 min, is 27% above that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$25.42per 15 min
North Carolina Medicaid
$32.22
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Payer mix

97155 in North Carolina, by payer type

North Carolina Medicaid$32.22
Commercial (8 payers)$25.42
UnitedHealthcare$42.46
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97155 rate in North Carolina

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$42.46 per 15 min$169.84166
AetnaCommercial$20.97 per 15 min$83.8845
See every payer's 97155 rate in North Carolina

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97155 in North Carolina?

The median of 8 payers' medians is $25.42 per 15 min, from 282 published rates in the October 2026 files.

How does North Carolina Medicaid compare with commercial insurance for 97155?

North Carolina Medicaid pays $32.22 per 15 min, 27% above the commercial median.

What does UnitedHealthcare pay for 97155 in North Carolina?

UnitedHealthcare's median is $42.46 per 15 min, from 166 rates and 267 providers.

What does Aetna pay for 97155 in North Carolina?

Aetna's median is $20.97 per 15 min, from 45 rates and 2251 providers.