CareFirst BCBS ABA reimbursement rates in New Mexico
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in New Mexico, across 5 rates and 21 providers. That is 24% below New Mexico Medicaid ($32.31).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs New Mexico 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 New Mexico, across 5 rates and 21 providers. That is 18% below New Mexico Medicaid ($39.69). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in New Mexico. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | New Mexico Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $32.31 | — | 521 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $39.69 | — | 521 providers |
Every ABA code CareFirst BCBS publishes in New Mexico
Frequently asked questions
What does CareFirst BCBS pay for 97153 in New Mexico?
The median of CareFirst BCBS's published New Mexico rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 5 rates and 21 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in New Mexico?
The median of CareFirst BCBS's published New Mexico rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 5 rates and 21 providers in the October 2026 files.
Does CareFirst BCBS pay more than New Mexico Medicaid for ABA?
For 97153, CareFirst BCBS's median is 24% below the New Mexico Medicaid fee-for-service rate of $32.31 per 15 min.