CareFirst BCBS reimbursement rates in Florida
CareFirst BCBS's median rate for 97153 (one-on-one ABA therapy by a technician) in Florida is $24.46 per 15 min, across 21 published rates from 203 providers. That is 100% above Florida Medicaid's fee-for-service rate of $12.26.
- Codes with a median
- 93
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Florida Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of CareFirst BCBS's published Florida rates is $32.61 per 15 min (21 rates, 203 providers). That is 70% above Florida Medicaid's fee-for-service rate of $19.17. CareFirst BCBS publishes Florida rates for 93 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Florida Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $12.26100% above | — | 21203 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $19.1770% above | — | 21203 providers |
All 93 CareFirst BCBS codes with a median in Florida
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Florida?
The median of CareFirst BCBS's published Florida rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 21 rates and 203 providers in the October 2026 files.
Does CareFirst BCBS pay more than Florida Medicaid for 97153?
CareFirst BCBS's median is 100% above the Medicaid fee-for-service rate of $12.26 per 15 min.
What does CareFirst BCBS pay for 97155 in Florida?
The median of CareFirst BCBS's published Florida rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 21 rates and 203 providers in the October 2026 files.
Does CareFirst BCBS pay more than Florida Medicaid for 97155?
CareFirst BCBS's median is 70% above the Medicaid fee-for-service rate of $19.17 per 15 min.
How many codes does CareFirst BCBS publish rates for in Florida?
93 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Florida. The full list, with ranges and modifier tiers, is in the workspace.