CareFirst BCBS reimbursement rates in Georgia
For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published Georgia rates is $24.46 per 15 min (13 rates, 92 providers). That is 21% below Georgia Medicaid's fee-for-service rate of $30.91.
- Codes with a median
- 93
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Georgia Medicaid
Across 12 published rates from 92 providers, CareFirst BCBS pays a median of $32.61 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Georgia. That is 19% below Georgia Medicaid's fee-for-service rate of $40.14. CareFirst BCBS publishes Georgia rates for 93 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Georgia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $30.9121% below | — | 1392 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $40.1419% below | — | 1292 providers |
All 93 CareFirst BCBS codes with a median in Georgia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Georgia?
The median of CareFirst BCBS's published Georgia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 13 rates and 92 providers in the October 2026 files.
Does CareFirst BCBS pay more than Georgia Medicaid for 97153?
CareFirst BCBS's median is 21% below the Medicaid fee-for-service rate of $30.91 per 15 min.
What does CareFirst BCBS pay for 97155 in Georgia?
The median of CareFirst BCBS's published Georgia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 12 rates and 92 providers in the October 2026 files.
Does CareFirst BCBS pay more than Georgia Medicaid for 97155?
CareFirst BCBS's median is 19% below the Medicaid fee-for-service rate of $40.14 per 15 min.
How many codes does CareFirst BCBS publish rates for in Georgia?
93 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Georgia. The full list, with ranges and modifier tiers, is in the workspace.