North Carolina Medicaid ABA Rates: 97153 and Every ABA Code \| StreamABA [ ![StreamABA](https://streamaba.com/build/assets/logo-dark-Bta4omRy.svg) ](/) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [ Log in ](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) [Home](https://streamaba.com) [Blog](https://streamaba.com/blog) [Log in](https://streamaba.com/login) [ Goto the Live Demo ](#get-started) ABA Medicaid rates · North Carolina North Carolina Medicaid *ABA rates.* ====================================== NC Medicaid Direct (FFS) - Research-Based Behavioral Health Treatment (RB-BHT). Fee-for-service rates as the state publishes them, with the source and the date we last checked it. Website Work email Goto the Live Demo Rates by code What North Carolina Medicaid *pays.* ------------------------------------ Published. The state publishes a fee-for-service rate for these codes. Code Modifier / provider tier Unit Rate 97151 Behavior identification assessment (QHP) Physician/QHP (LQASP) 15 min $30.56 97152 Supporting assessment (technician) Technician (paraprofessional) Rate as published on the state fee schedule ($61.73); higher than 97151, verified in the source XLSX. 15 min $61.73 97153 Adaptive behavior treatment by protocol (technician) Technician (paraprofessional) 15 min $20.81 97154 Group treatment by protocol (technician) Technician (paraprofessional) 15 min $11.37 97155 Treatment with protocol modification (QHP) Physician/QHP (LQASP) 15 min $32.22 97156 Family treatment guidance (QHP) Physician/QHP (LQASP) 15 min $23.70 97157 Multiple-family group guidance (QHP) Physician/QHP (LQASP) 15 min $11.51 97158 Group treatment with protocol modification (QHP) All providers Not on the RBI-BHT fee schedule and not listed in Clinical Coverage Policy 8F Attachment A. 15 min — 0362T Supporting assessment for severe behavior (team) All providers Not on the RBI-BHT fee schedule and not listed in Clinical Coverage Policy 8F Attachment A. 15 min — 0373T Treatment for severe behavior (team) All providers Not on the RBI-BHT fee schedule and not listed in Clinical Coverage Policy 8F Attachment A. 15 min — How we read this state's schedule --------------------------------- Fee schedule XLSX states 'Updated 1/14/2026' and 'All rates depicted on this fee schedule do not contain rate reductions'; every row shows Effective Date 10/01/2025, End Date 12/31/9999 (the 10% Oct 1, 2025 cut was reversed and rates restored). Billing unit 15 minutes for all codes. Clinical Coverage Policy 8F (amended Aug 1, 2026) requires prior approval for RB-BHT (97151/97152 do not need a treatment plan for PA); GT modifier for telehealth, KX for telephonic (97156/97157). Health plans (Standard/Tailored Plans) set their own rates; this schedule is NC Medicaid Direct FFS. Program NC Medicaid Direct (FFS) - Research-Based Behavioral Health Treatment (RB-BHT) Effective date 2025-10-01 Last reviewed 2026-09-30 Source [NC DHB Research Based Intensive Behavioral Health RBI-BHT Fee Schedule (Updated 1/14/2026), via DHB Fee Schedule & Covered Codes Portal (ncdhhs.servicenowservices.com/fee\_schedules)](https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/412745c61bb63e90d6e6ea0de54bcbea) National median · 97153 $15.04 per 15-min unit North Carolina: $20.81 at the same tier. Across 40 states, at the technician tier or the single rate where a state has no tiers. [How we count](https://streamaba.com/tools/aba-medicaid-rates#methodology) [Compare every state](https://streamaba.com/tools/aba-medicaid-rates) Read this before you rely on a number ------------------------------------- - These are North Carolina Medicaid fee-for-service rates as published by the state. They are not commercial insurance rates and not managed care plan rates. - This page is general information, not billing, coding or legal advice. - Fee schedules change, often without notice. Verify every rate with the state Medicaid agency, or with the plan you bill, before you rely on it. - CPT is a registered trademark of the American Medical Association. Code names here are our own short descriptions. Spotted a change or an error? [Tell us](https://streamaba.com/support) and we will re-check the source. 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