CareFirst BCBS reimbursement rates in District of Columbia
Across 30 published rates from 608 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in District of Columbia. That is 11% below District of Columbia Medicaid's fee-for-service rate of $27.50.
- Codes with a median
- 103
- 97153 median
- $24.46per 15 min
- Files
- October 2026
On this page
CareFirst BCBS vs District of Columbia Medicaid
CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in District of Columbia is $32.61 per 15 min, across 29 published rates from 608 providers. That is 4.4% above District of Columbia Medicaid's fee-for-service rate of $31.25. CareFirst BCBS publishes District of Columbia rates for 103 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $27.5011% below | — | 30608 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $31.254.4% above | — | 29608 providers |
All 103 CareFirst BCBS codes with a median in District of Columbia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in District of Columbia?
The median of CareFirst BCBS's published District of Columbia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 30 rates and 608 providers in the October 2026 files.
Does CareFirst BCBS pay more than District of Columbia Medicaid for 97153?
CareFirst BCBS's median is 11% below the Medicaid fee-for-service rate of $27.50 per 15 min.
What does CareFirst BCBS pay for 97155 in District of Columbia?
The median of CareFirst BCBS's published District of Columbia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 29 rates and 608 providers in the October 2026 files.
Does CareFirst BCBS pay more than District of Columbia Medicaid for 97155?
CareFirst BCBS's median is 4.4% above the Medicaid fee-for-service rate of $31.25 per 15 min.
How many codes does CareFirst BCBS publish rates for in District of Columbia?
103 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in District of Columbia. The full list, with ranges and modifier tiers, is in the workspace.