CareFirst BCBS ABA reimbursement rates in Virginia
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in Virginia, across 44 rates and 997 providers. That is 4.2% above Virginia Medicaid ($23.48).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs Virginia 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 Virginia, across 43 rates and 997 providers. That is 17% below Virginia Medicaid ($39.40). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Virginia. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $23.48 | — | 44997 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $39.40 | — | 43997 providers |
Every ABA code CareFirst BCBS publishes in Virginia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Virginia?
The median of CareFirst BCBS's published Virginia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 44 rates and 997 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Virginia?
The median of CareFirst BCBS's published Virginia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 43 rates and 997 providers in the October 2026 files.
Does CareFirst BCBS pay more than Virginia Medicaid for ABA?
For 97153, CareFirst BCBS's median is 4.2% above the Virginia Medicaid fee-for-service rate of $23.48 per 15 min.