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BCBS Minnesota · Washington · September 2026

BCBS Minnesota reimbursement rates in Washington

BCBS Minnesota's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Washington is $21.38 per 15 min, across 7 published rates from 23 providers. That is 52% above Washington Medicaid's fee-for-service rate of $14.09.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
19
97155 median
$21.38per 15 min
Files
September 2026
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Headline rates

BCBS Minnesota vs Washington Medicaid

For S9123 (nursing care, in the home; by registered nurse, per hour), the median of BCBS Minnesota's published Washington rates is $55.56 per hour (6 rates, 3 providers). Washington Medicaid publishes no comparable fee-for-service rate for S9123. BCBS Minnesota publishes Washington rates for 19 of the codes we track. Figures are from the September 2026 files.

CodeBCBS Minnesota medianPer hourWashington MedicaidTRICARERates (n)
97155ABA therapy led by the analyst (plan adjusted in session)$21.38per 15 min$85.52$14.0952% above—723 providers
S9123Nursing care, in the home; by registered nurse, per hour$55.56per hour$55.56——63 providers
BCBS Minnesota median$21.38
Washington Medicaid$14.09
97155, per 15 min. September 2026 files.
Every code

All 19 BCBS Minnesota codes with a median in Washington

CodeMedianp25–p75vs Medicaid
See all 19 BCBS Minnesota rates in Washington

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FAQ

Frequently asked questions

What does BCBS Minnesota pay for 97155 in Washington?

The median of BCBS Minnesota's published Washington rates for 97155 is $21.38 per 15 min ($85.52 per hour), from 7 rates and 23 providers in the September 2026 files.

Does BCBS Minnesota pay more than Washington Medicaid for 97155?

BCBS Minnesota's median is 52% above the Medicaid fee-for-service rate of $14.09 per 15 min.

What does BCBS Minnesota pay for S9123 in Washington?

The median of BCBS Minnesota's published Washington rates for S9123 is $55.56 per hour, from 6 rates and 3 providers in the September 2026 files.

How many codes does BCBS Minnesota publish rates for in Washington?

19 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Minnesota median in Washington. The full list, with ranges and modifier tiers, is in the workspace.