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BCBS Texas · Wisconsin · September 2026

BCBS Texas reimbursement rates in Wisconsin

BCBS Texas's median rate for 97153 (one-on-one ABA therapy by a technician) in Wisconsin is $13.63 per 15 min, across 5 published rates from 39 providers. That is 35% below Wisconsin Medicaid's fee-for-service rate of $20.84.

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

Codes with a median
65
97153 median
$13.63per 15 min
Files
September 2026
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Headline rates

BCBS Texas vs Wisconsin Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of BCBS Texas's published Wisconsin rates is $25.42 per 15 min (5 rates, 23 providers). That is 11% above Wisconsin Medicaid's fee-for-service rate of $22.93. BCBS Texas publishes Wisconsin rates for 65 of the codes we track. Figures are from the September 2026 files.

CodeBCBS Texas medianPer hourWisconsin MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$13.63per 15 min$54.52$20.8435% below—539 providers
97155ABA therapy led by the analyst (plan adjusted in session)$25.42per 15 min$101.68$22.9311% above—523 providers
BCBS Texas median$13.63
Wisconsin Medicaid$20.84
97153, per 15 min. September 2026 files.
Every code

All 65 BCBS Texas codes with a median in Wisconsin

CodeMedianp25–p75vs Medicaid
See all 65 BCBS Texas rates in Wisconsin

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FAQ

Frequently asked questions

What does BCBS Texas pay for 97153 in Wisconsin?

The median of BCBS Texas's published Wisconsin rates for 97153 is $13.63 per 15 min ($54.52 per hour), from 5 rates and 39 providers in the September 2026 files.

Does BCBS Texas pay more than Wisconsin Medicaid for 97153?

BCBS Texas's median is 35% below the Medicaid fee-for-service rate of $20.84 per 15 min.

What does BCBS Texas pay for 97155 in Wisconsin?

The median of BCBS Texas's published Wisconsin rates for 97155 is $25.42 per 15 min ($101.68 per hour), from 5 rates and 23 providers in the September 2026 files.

Does BCBS Texas pay more than Wisconsin Medicaid for 97155?

BCBS Texas's median is 11% above the Medicaid fee-for-service rate of $22.93 per 15 min.

How many codes does BCBS Texas publish rates for in Wisconsin?

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