BCBS Illinois reimbursement rates in Texas
BCBS Illinois's median rate for 97153 (one-on-one ABA therapy by a technician) in Texas is $19.75 per 15 min, across 8 published rates from 143 providers. That is 36% above Texas Medicaid's fee-for-service rate of $14.50.
- Codes with a median
- 86
- 97153 median
- $19.75per 15 min
- Files
- September 2026
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BCBS Illinois vs Texas Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Illinois's published Texas rates is $30.91 per 15 min (8 rates, 144 providers). That is 23% above Texas Medicaid's fee-for-service rate of $25.10. BCBS Illinois publishes Texas rates for 86 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS Illinois median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.75per 15 min | $79.00 | $14.5036% above | — | 8143 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.91per 15 min | $123.64 | $25.1023% above | — | 8144 providers |
All 86 BCBS Illinois codes with a median in Texas
Frequently asked questions
What does BCBS Illinois pay for 97153 in Texas?
The median of BCBS Illinois's published Texas rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 8 rates and 143 providers in the September 2026 files.
Does BCBS Illinois pay more than Texas Medicaid for 97153?
BCBS Illinois's median is 36% above the Medicaid fee-for-service rate of $14.50 per 15 min.
What does BCBS Illinois pay for 97155 in Texas?
The median of BCBS Illinois's published Texas rates for 97155 is $30.91 per 15 min ($123.64 per hour), from 8 rates and 144 providers in the September 2026 files.
Does BCBS Illinois pay more than Texas Medicaid for 97155?
BCBS Illinois's median is 23% above the Medicaid fee-for-service rate of $25.10 per 15 min.
How many codes does BCBS Illinois publish rates for in Texas?
86 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in Texas. The full list, with ranges and modifier tiers, is in the workspace.