Wireless devices may perform modified carrier sense multiple access (CSMA) techniques in order to increase reliability while maintaining a reasonable latency for communications. The wireless devices may perform listen-before-talk (LBT) techniques using an adaptive transmission threshold (e.g., an adaptive CSMA threshold). The transmission threshold may be compared to a measured signal strength magnitude to determine whether the frequency channel is quiet enough for transmission of a packet. The transmission threshold may be initially set to equal a minimum value. The wireless device may increase the transmission threshold after each instance of LBT failure to allow the wireless device to get progressively more likely to transmit the packet each time LBT fails.