CareFirst BCBS reimbursement rates by state
We read CareFirst BCBS's commercial rate files for 52 states and found medians for 106 tracked codes. For 97153 (one-on-one ABA therapy by a technician), its median ranges from $24.46 in West Virginia to $24.46 in Arizona per 15 min.
- States
- 52
- Codes with a median
- 106
- Files
- October 2026
CareFirst BCBS median for 97153, by state
Per 15 min, with each state's Medicaid rate in the same unit.
Codes with a CareFirst BCBS median
Each code links to its Medicaid rate by state.
0191, 0192, 0193, 0194, 0362T, 0373T, 0550, 0551, 0561, 0571, 0651, 0652, 0655, 0656, 90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90865, 90867, 90868, 90869, 90870, 90875, 90880, 90887, 92507, 92508, 92521, 92522, 92523, 92524, 92526, 92609, 92610, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 97110, 97112, 97113, 97116, 97129, 97130, 97140, 97150, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97542, 97760, 97761, 97763, H0001, H0002, H0004, H0005, H0010, H0015, H0016, H0018, H0020, H0031, H0032, H0047, H2011, H2018, H2019, S9123, S9124, S9480, S9485
Frequently asked questions
Where does CareFirst BCBS publish rates?
CareFirst BCBS has state pages here for Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, PR, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming, each built from its October 2026 price-transparency files.
Which state has CareFirst BCBS's highest median for 97153?
Arizona, at $24.46 per 15 min (9 rates).
How are CareFirst BCBS's rates compared with Medicaid?
Each state page puts CareFirst BCBS's median next to that state's Medicaid fee-for-service rate in the same unit, and next to TRICARE where it pays for the code.