CareFirst BCBS reimbursement rates in Colorado
CareFirst BCBS's median rate for 97153 (one-on-one ABA therapy by a technician) in Colorado is $24.46 per 15 min, across 10 published rates from 60 providers. That is 42% above Colorado Medicaid's fee-for-service rate of $17.20.
- Codes with a median
- 91
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Colorado Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of CareFirst BCBS's published Colorado rates is $32.61 per 15 min (10 rates, 60 providers). That is 26% above Colorado Medicaid's fee-for-service rate of $25.80. CareFirst BCBS publishes Colorado rates for 91 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Colorado Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $17.2042% above | — | 1060 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $25.8026% above | — | 1060 providers |
All 91 CareFirst BCBS codes with a median in Colorado
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Colorado?
The median of CareFirst BCBS's published Colorado rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 10 rates and 60 providers in the October 2026 files.
Does CareFirst BCBS pay more than Colorado Medicaid for 97153?
CareFirst BCBS's median is 42% above the Medicaid fee-for-service rate of $17.20 per 15 min.
What does CareFirst BCBS pay for 97155 in Colorado?
The median of CareFirst BCBS's published Colorado rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 10 rates and 60 providers in the October 2026 files.
Does CareFirst BCBS pay more than Colorado Medicaid for 97155?
CareFirst BCBS's median is 26% above the Medicaid fee-for-service rate of $25.80 per 15 min.
How many codes does CareFirst BCBS publish rates for in Colorado?
91 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Colorado. The full list, with ranges and modifier tiers, is in the workspace.