CareFirst BCBS ABA reimbursement rates in New Jersey
For ABA therapy by a technician (97153), CareFirst BCBS's median in New Jersey is $24.46 per 15 min, or $97.84 an hour, from 12 published rates. That is 118% above New Jersey Medicaid ($11.20).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs New Jersey Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in New Jersey is $32.61 per 15 min, or $130.44 an hour, from 12 published rates. That is 54% above New Jersey Medicaid ($21.25). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in New Jersey. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | New Jersey Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $11.20 | — | 12114 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $21.25 | — | 12114 providers |
Every ABA code CareFirst BCBS publishes in New Jersey
Frequently asked questions
What does CareFirst BCBS pay for 97153 in New Jersey?
The median of CareFirst BCBS's published New Jersey rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 12 rates and 114 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in New Jersey?
The median of CareFirst BCBS's published New Jersey rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 12 rates and 114 providers in the October 2026 files.
Does CareFirst BCBS pay more than New Jersey Medicaid for ABA?
For 97153, CareFirst BCBS's median is 118% above the New Jersey Medicaid fee-for-service rate of $11.20 per 15 min.