CareFirst BCBS ABA reimbursement rates in New York
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in New York, across 17 rates and 130 providers. That is 154% above New York Medicaid ($9.63).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs New York 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 York, across 16 rates and 130 providers. That is 69% above New York Medicaid ($19.26). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in New York. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $9.63 | — | 17130 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $19.26 | — | 16130 providers |
Every ABA code CareFirst BCBS publishes in New York
Frequently asked questions
What does CareFirst BCBS pay for 97153 in New York?
The median of CareFirst BCBS's published New York rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 17 rates and 130 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in New York?
The median of CareFirst BCBS's published New York rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 16 rates and 130 providers in the October 2026 files.
Does CareFirst BCBS pay more than New York Medicaid for ABA?
For 97153, CareFirst BCBS's median is 154% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.