Ambetter (Centene) reimbursement rates in North Carolina
Across 14 published rates from 39 providers, Ambetter (Centene) pays a median of $21.64 per 15 min for 97153 (one-on-one ABA therapy by a technician) in North Carolina. That is 4.0% above North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 30
- 97153 median
- $21.64per 15 min
- Files
- August 2026
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Ambetter (Centene) vs North Carolina Medicaid
Ambetter (Centene)'s median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina is $22.48 per 15 min, across 5 published rates from 13 providers. That is 30% below North Carolina Medicaid's fee-for-service rate of $32.22. Ambetter (Centene) publishes North Carolina rates for 30 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $21.64per 15 min | $86.56 | $20.814.0% above | — | 1439 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.48per 15 min | $89.92 | $32.2230% below | — | 513 providers |
All 30 Ambetter (Centene) codes with a median in North Carolina
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in North Carolina?
The median of Ambetter (Centene)'s published North Carolina rates for 97153 is $21.64 per 15 min ($86.56 per hour), from 14 rates and 39 providers in the August 2026 files.
Does Ambetter (Centene) pay more than North Carolina Medicaid for 97153?
Ambetter (Centene)'s median is 4.0% above the Medicaid fee-for-service rate of $20.81 per 15 min.
What does Ambetter (Centene) pay for 97155 in North Carolina?
The median of Ambetter (Centene)'s published North Carolina rates for 97155 is $22.48 per 15 min ($89.92 per hour), from 5 rates and 13 providers in the August 2026 files.
Does Ambetter (Centene) pay more than North Carolina Medicaid for 97155?
Ambetter (Centene)'s median is 30% below the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does Ambetter (Centene) publish rates for in North Carolina?
30 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.