UnitedHealthcare reimbursement rates in North Carolina
For 97153 (one-on-one ABA therapy by a technician), the median of UnitedHealthcare's published North Carolina rates is $42.46 per 15 min (166 rates, 267 providers). That is 104% above North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 77
- 97153 median
- $42.46per 15 min
- Files
- October 2026
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UnitedHealthcare vs North Carolina Medicaid
Across 166 published rates from 267 providers, UnitedHealthcare pays a median of $42.46 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in North Carolina. That is 32% above North Carolina Medicaid's fee-for-service rate of $32.22. UnitedHealthcare publishes North Carolina rates for 77 of the codes we track. Figures are from the October 2026 files.
| Code | UnitedHealthcare median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $42.46per 15 min | $169.84 | $20.81104% above | — | 166267 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $42.46per 15 min | $169.84 | $32.2232% above | — | 166267 providers |
All 77 UnitedHealthcare codes with a median in North Carolina
Frequently asked questions
What does UnitedHealthcare pay for 97153 in North Carolina?
The median of UnitedHealthcare's published North Carolina rates for 97153 is $42.46 per 15 min ($169.84 per hour), from 166 rates and 267 providers in the October 2026 files.
Does UnitedHealthcare pay more than North Carolina Medicaid for 97153?
UnitedHealthcare's median is 104% above the Medicaid fee-for-service rate of $20.81 per 15 min.
What does UnitedHealthcare pay for 97155 in North Carolina?
The median of UnitedHealthcare's published North Carolina rates for 97155 is $42.46 per 15 min ($169.84 per hour), from 166 rates and 267 providers in the October 2026 files.
Does UnitedHealthcare pay more than North Carolina Medicaid for 97155?
UnitedHealthcare's median is 32% above the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does UnitedHealthcare publish rates for in North Carolina?
77 of the behavioral health, ABA, therapy, home health and other codes we track have a UnitedHealthcare median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.