CareFirst BCBS ABA reimbursement rates in Washington
For ABA therapy by a technician (97153), CareFirst BCBS's median in Washington is $24.46 per 15 min, or $97.84 an hour, from 13 published rates. That is 97% above Washington Medicaid ($12.40).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs Washington Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in Washington is $32.61 per 15 min, or $130.44 an hour, from 13 published rates. That is 131% above Washington Medicaid ($14.09). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Washington. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Washington Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $12.40 | — | 1342 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $14.09 | — | 1342 providers |
Every ABA code CareFirst BCBS publishes in Washington
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Washington?
The median of CareFirst BCBS's published Washington rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 13 rates and 42 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Washington?
The median of CareFirst BCBS's published Washington rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 13 rates and 42 providers in the October 2026 files.
Does CareFirst BCBS pay more than Washington Medicaid for ABA?
For 97153, CareFirst BCBS's median is 97% above the Washington Medicaid fee-for-service rate of $12.40 per 15 min.