CareFirst BCBS ABA reimbursement rates in Maryland
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in Maryland, across 71 rates and 3826 providers. That is 17% above Maryland Medicaid ($20.91).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs Maryland 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 Maryland, across 70 rates and 3826 providers. That is 15% below Maryland Medicaid ($38.34). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Maryland. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Maryland Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $20.91 | — | 713826 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $38.34 | — | 703826 providers |
Every ABA code CareFirst BCBS publishes in Maryland
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Maryland?
The median of CareFirst BCBS's published Maryland rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 71 rates and 3826 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Maryland?
The median of CareFirst BCBS's published Maryland rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 70 rates and 3826 providers in the October 2026 files.
Does CareFirst BCBS pay more than Maryland Medicaid for ABA?
For 97153, CareFirst BCBS's median is 17% above the Maryland Medicaid fee-for-service rate of $20.91 per 15 min.