CareFirst BCBS ABA reimbursement rates in South Carolina
For ABA therapy by a technician (97153), CareFirst BCBS's median in South Carolina is $24.46 per 15 min, or $97.84 an hour, from 9 published rates. That is 64% above South Carolina Medicaid ($14.88).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs South Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in South Carolina is $32.61 per 15 min, or $130.44 an hour, from 9 published rates. That is 54% above South Carolina Medicaid ($21.25). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in South Carolina. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $14.88 | — | 930 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $21.25 | — | 930 providers |
Every ABA code CareFirst BCBS publishes in South Carolina
Frequently asked questions
What does CareFirst BCBS pay for 97153 in South Carolina?
The median of CareFirst BCBS's published South Carolina rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 9 rates and 30 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in South Carolina?
The median of CareFirst BCBS's published South Carolina rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 9 rates and 30 providers in the October 2026 files.
Does CareFirst BCBS pay more than South Carolina Medicaid for ABA?
For 97153, CareFirst BCBS's median is 64% above the South Carolina Medicaid fee-for-service rate of $14.88 per 15 min.