CareFirst BCBS ABA reimbursement rates in Texas
For ABA therapy by a technician (97153), CareFirst BCBS's median in Texas is $24.46 per 15 min, or $97.84 an hour, from 15 published rates. That is 69% above Texas Medicaid ($14.50).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
On this page
CareFirst BCBS vs Texas Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in Texas is $32.61 per 15 min, or $130.44 an hour, from 15 published rates. That is 30% above Texas Medicaid ($25.10). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Texas. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Texas Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $14.50 | — | 15122 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $25.10 | — | 15122 providers |
Every ABA code CareFirst BCBS publishes in Texas
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Texas?
The median of CareFirst BCBS's published Texas rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 15 rates and 122 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Texas?
The median of CareFirst BCBS's published Texas rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 15 rates and 122 providers in the October 2026 files.
Does CareFirst BCBS pay more than Texas Medicaid for ABA?
For 97153, CareFirst BCBS's median is 69% above the Texas Medicaid fee-for-service rate of $14.50 per 15 min.