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ABA · CareFirst BCBS · Kentucky

CareFirst BCBS ABA reimbursement rates in Kentucky

For ABA therapy by a technician (97153), CareFirst BCBS's median in Kentucky is $24.46 per 15 min, or $97.84 an hour, from 7 published rates. That is 101% above Kentucky Medicaid ($12.18).

Updated 2026-10-09October 2026 files

97153 median
$24.46per 15 min
97155 median
$32.61per 15 min
Files
October 2026
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CareFirst BCBS vs Kentucky Medicaid and TRICARE

For protocol modification by the analyst (97155), CareFirst BCBS's median in Kentucky is $32.61 per 15 min, or $130.44 an hour, from 7 published rates. That is 51% above Kentucky Medicaid ($21.59). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Kentucky. Figures come from CareFirst BCBS's October 2026 price-transparency files.

CodeCareFirst BCBS medianPer hourKentucky MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$24.46per 15 min$97.84$12.18—724 providers
97155ABA therapy led by the analyst (plan adjusted in session)$32.61per 15 min$130.44$21.59—724 providers
CareFirst BCBS$24.46
Kentucky Medicaid$12.18
97153, per 15 min.
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Every ABA code CareFirst BCBS publishes in Kentucky

CodeMedianp25–p75vs Medicaid
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FAQ

Frequently asked questions

What does CareFirst BCBS pay for 97153 in Kentucky?

The median of CareFirst BCBS's published Kentucky rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 7 rates and 24 providers in the October 2026 files.

What does CareFirst BCBS pay for 97155 in Kentucky?

The median of CareFirst BCBS's published Kentucky rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 7 rates and 24 providers in the October 2026 files.

Does CareFirst BCBS pay more than Kentucky Medicaid for ABA?

For 97153, CareFirst BCBS's median is 101% above the Kentucky Medicaid fee-for-service rate of $12.18 per 15 min.