CareFirst BCBS ABA reimbursement rates in Massachusetts
For ABA therapy by a technician (97153), CareFirst BCBS's median in Massachusetts is $24.46 per 15 min, or $97.84 an hour, from 12 published rates. That is 49% above Massachusetts Medicaid ($16.37).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
On this page
CareFirst BCBS vs Massachusetts Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in Massachusetts is $32.61 per 15 min, or $130.44 an hour, from 12 published rates. That is 6.1% above Massachusetts Medicaid ($30.73). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Massachusetts. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $16.37 | — | 1280 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $30.73 | — | 1280 providers |
Every ABA code CareFirst BCBS publishes in Massachusetts
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Massachusetts?
The median of CareFirst BCBS's published Massachusetts rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 12 rates and 80 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Massachusetts?
The median of CareFirst BCBS's published Massachusetts rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 12 rates and 80 providers in the October 2026 files.
Does CareFirst BCBS pay more than Massachusetts Medicaid for ABA?
For 97153, CareFirst BCBS's median is 49% above the Massachusetts Medicaid fee-for-service rate of $16.37 per 15 min.