CareFirst BCBS ABA reimbursement rates in District of Columbia
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in District of Columbia, across 30 rates and 608 providers. That is 11% below District of Columbia Medicaid ($27.50).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs District of Columbia Medicaid and TRICARE
CareFirst BCBS pays a median of $32.61 per 15 min ($130.44 an hour) for protocol modification by the analyst (97155) in District of Columbia, across 29 rates and 608 providers. That is 4.4% above District of Columbia Medicaid ($31.25). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in District of Columbia. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $27.50 | — | 30608 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $31.25 | — | 29608 providers |
Every ABA code CareFirst BCBS publishes in District of Columbia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in District of Columbia?
The median of CareFirst BCBS's published District of Columbia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 30 rates and 608 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in District of Columbia?
The median of CareFirst BCBS's published District of Columbia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 29 rates and 608 providers in the October 2026 files.
Does CareFirst BCBS pay more than District of Columbia Medicaid for ABA?
For 97153, CareFirst BCBS's median is 11% below the District of Columbia Medicaid fee-for-service rate of $27.50 per 15 min.