CareFirst BCBS ABA reimbursement rates in West Virginia
CareFirst BCBS pays a median of $24.46 per 15 min ($97.84 an hour) for ABA therapy by a technician (97153) in West Virginia, across 13 rates and 60 providers. That is 147% above West Virginia Medicaid ($9.90).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs West 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 West Virginia, across 13 rates and 60 providers. That is 12% above West Virginia Medicaid ($29.14). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in West Virginia. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $9.90 | — | 1360 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $29.14 | — | 1360 providers |
Every ABA code CareFirst BCBS publishes in West Virginia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in West Virginia?
The median of CareFirst BCBS's published West Virginia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 13 rates and 60 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in West Virginia?
The median of CareFirst BCBS's published West Virginia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 13 rates and 60 providers in the October 2026 files.
Does CareFirst BCBS pay more than West Virginia Medicaid for ABA?
For 97153, CareFirst BCBS's median is 147% above the West Virginia Medicaid fee-for-service rate of $9.90 per 15 min.