BCBS Illinois reimbursement rates in Wisconsin
BCBS Illinois's median rate for 97153 (one-on-one ABA therapy by a technician) in Wisconsin is $19.75 per 15 min, across 11 published rates from 130 providers. That is 5.2% below Wisconsin Medicaid's fee-for-service rate of $20.84.
- Codes with a median
- 92
- 97153 median
- $19.75per 15 min
- Files
- September 2026
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BCBS Illinois vs Wisconsin Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Illinois's published Wisconsin rates is $30.91 per 15 min (11 rates, 126 providers). That is 35% above Wisconsin Medicaid's fee-for-service rate of $22.93. BCBS Illinois publishes Wisconsin rates for 92 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS Illinois median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.75per 15 min | $79.00 | $20.845.2% below | — | 11130 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.91per 15 min | $123.64 | $22.9335% above | — | 11126 providers |
All 92 BCBS Illinois codes with a median in Wisconsin
Frequently asked questions
What does BCBS Illinois pay for 97153 in Wisconsin?
The median of BCBS Illinois's published Wisconsin rates for 97153 is $19.75 per 15 min ($79.00 per hour), from 11 rates and 130 providers in the September 2026 files.
Does BCBS Illinois pay more than Wisconsin Medicaid for 97153?
BCBS Illinois's median is 5.2% below the Medicaid fee-for-service rate of $20.84 per 15 min.
What does BCBS Illinois pay for 97155 in Wisconsin?
The median of BCBS Illinois's published Wisconsin rates for 97155 is $30.91 per 15 min ($123.64 per hour), from 11 rates and 126 providers in the September 2026 files.
Does BCBS Illinois pay more than Wisconsin Medicaid for 97155?
BCBS Illinois's median is 35% above the Medicaid fee-for-service rate of $22.93 per 15 min.
How many codes does BCBS Illinois publish rates for in Wisconsin?
92 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Illinois median in Wisconsin. The full list, with ranges and modifier tiers, is in the workspace.