CareFirst BCBS ABA reimbursement rates in Missouri
For ABA therapy by a technician (97153), CareFirst BCBS's median in Missouri is $24.46 per 15 min, or $97.84 an hour, from 10 published rates. That is 38% above Missouri Medicaid ($17.73).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs Missouri Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in Missouri is $32.61 per 15 min, or $130.44 an hour, from 10 published rates. That is 29% above Missouri Medicaid ($25.26). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Missouri. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Missouri Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $17.73 | — | 1033 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $25.26 | — | 1033 providers |
Every ABA code CareFirst BCBS publishes in Missouri
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Missouri?
The median of CareFirst BCBS's published Missouri rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 10 rates and 33 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Missouri?
The median of CareFirst BCBS's published Missouri rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 10 rates and 33 providers in the October 2026 files.
Does CareFirst BCBS pay more than Missouri Medicaid for ABA?
For 97153, CareFirst BCBS's median is 38% above the Missouri Medicaid fee-for-service rate of $17.73 per 15 min.