BCBS Minnesota reimbursement rates in Wisconsin
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Minnesota's published Wisconsin rates is $21.81 per 15 min (10 rates, 101 providers). That is 4.9% below Wisconsin Medicaid's fee-for-service rate of $22.93.
- Codes with a median
- 19
- 97155 median
- $21.81per 15 min
- Files
- September 2026
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BCBS Minnesota vs Wisconsin Medicaid
Across 5 published rates from 39 providers, BCBS Minnesota pays a median of $55.56 per hour for S9123 (nursing care, in the home; by registered nurse, per hour) in Wisconsin. That is 47% above Wisconsin Medicaid's fee-for-service rate of $37.76. BCBS Minnesota publishes Wisconsin rates for 19 of the codes we track. Figures are from the September 2026 files.
| Code | BCBS Minnesota median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97155ABA therapy led by the analyst (plan adjusted in session) | $21.81per 15 min | $87.24 | $22.934.9% below | — | 10101 providers |
| S9123Nursing care, in the home; by registered nurse, per hour | $55.56per hour | $55.56 | $37.7647% above | — | 539 providers |
All 19 BCBS Minnesota codes with a median in Wisconsin
Frequently asked questions
What does BCBS Minnesota pay for 97155 in Wisconsin?
The median of BCBS Minnesota's published Wisconsin rates for 97155 is $21.81 per 15 min ($87.24 per hour), from 10 rates and 101 providers in the September 2026 files.
Does BCBS Minnesota pay more than Wisconsin Medicaid for 97155?
BCBS Minnesota's median is 4.9% below the Medicaid fee-for-service rate of $22.93 per 15 min.
What does BCBS Minnesota pay for S9123 in Wisconsin?
The median of BCBS Minnesota's published Wisconsin rates for S9123 is $55.56 per hour, from 5 rates and 39 providers in the September 2026 files.
Does BCBS Minnesota pay more than Wisconsin Medicaid for S9123?
BCBS Minnesota's median is 47% above the Medicaid fee-for-service rate of $37.76 per hour.
How many codes does BCBS Minnesota publish rates for in Wisconsin?
19 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Minnesota median in Wisconsin. The full list, with ranges and modifier tiers, is in the workspace.