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CareFirst BCBS · California · October 2026

CareFirst BCBS reimbursement rates in California

Across 19 published rates from 169 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in California. California Medicaid publishes no comparable fee-for-service rate for 97153.

Updated 2026-10-09Source: payer price-transparency files

Codes with a median
91
97153 median
$24.46per 15 min
Files
October 2026
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Headline rates

CareFirst BCBS vs California Medicaid

CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in California is $32.61 per 15 min, across 19 published rates from 169 providers. California Medicaid publishes no comparable fee-for-service rate for 97155. CareFirst BCBS publishes California rates for 91 of the codes we track. Figures are from the October 2026 files.

CodeCareFirst BCBS medianPer hourCalifornia MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$24.46per 15 min$97.84——19169 providers
97155ABA therapy led by the analyst (plan adjusted in session)$32.61per 15 min$130.44——19169 providers
Every code

All 91 CareFirst BCBS codes with a median in California

CodeMedianp25–p75vs Medicaid
See all 91 CareFirst BCBS rates in California

Median, p25–p75 range, n, per-hour equivalent and the gap to Medicaid and TRICARE for every code. 7-day free trial.

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FAQ

Frequently asked questions

What does CareFirst BCBS pay for 97153 in California?

The median of CareFirst BCBS's published California rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 19 rates and 169 providers in the October 2026 files.

What does CareFirst BCBS pay for 97155 in California?

The median of CareFirst BCBS's published California rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 19 rates and 169 providers in the October 2026 files.

How many codes does CareFirst BCBS publish rates for in California?

91 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in California. The full list, with ranges and modifier tiers, is in the workspace.