CareFirst BCBS ABA reimbursement rates in Wisconsin
For ABA therapy by a technician (97153), CareFirst BCBS's median in Wisconsin is $24.46 per 15 min, or $97.84 an hour, from 8 published rates. That is 17% above Wisconsin Medicaid ($20.84).
- 97153 median
- $24.46per 15 min
- 97155 median
- $32.61per 15 min
- Files
- October 2026
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CareFirst BCBS vs Wisconsin Medicaid and TRICARE
For protocol modification by the analyst (97155), CareFirst BCBS's median in Wisconsin is $32.61 per 15 min, or $130.44 an hour, from 8 published rates. That is 42% above Wisconsin Medicaid ($22.93). CareFirst BCBS pays 1.33 times as much for analyst time as for technician time in Wisconsin. Figures come from CareFirst BCBS's October 2026 price-transparency files.
| Code | CareFirst BCBS median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $20.84 | — | 819 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $22.93 | — | 819 providers |
Every ABA code CareFirst BCBS publishes in Wisconsin
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Wisconsin?
The median of CareFirst BCBS's published Wisconsin rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 8 rates and 19 providers in the October 2026 files.
What does CareFirst BCBS pay for 97155 in Wisconsin?
The median of CareFirst BCBS's published Wisconsin rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 8 rates and 19 providers in the October 2026 files.
Does CareFirst BCBS pay more than Wisconsin Medicaid for ABA?
For 97153, CareFirst BCBS's median is 17% above the Wisconsin Medicaid fee-for-service rate of $20.84 per 15 min.