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CareFirst BCBS · Hawaii · October 2026

CareFirst BCBS reimbursement rates in Hawaii

Across 10 published rates from 24 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Hawaii. That is 39% above Hawaii Medicaid's fee-for-service rate of $17.66.

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

Codes with a median
89
97153 median
$24.46per 15 min
Files
October 2026
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Headline rates

CareFirst BCBS vs Hawaii Medicaid

CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Hawaii is $32.61 per 15 min, across 10 published rates from 24 providers. That is 9.3% below Hawaii Medicaid's fee-for-service rate of $35.94. CareFirst BCBS publishes Hawaii rates for 89 of the codes we track. Figures are from the October 2026 files.

CodeCareFirst BCBS medianPer hourHawaii MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$24.46per 15 min$97.84$17.6639% above—1024 providers
97155ABA therapy led by the analyst (plan adjusted in session)$32.61per 15 min$130.44$35.949.3% below—1024 providers
CareFirst BCBS median$24.46
Hawaii Medicaid$17.66
97153, per 15 min. October 2026 files.
Every code

All 89 CareFirst BCBS codes with a median in Hawaii

CodeMedianp25–p75vs Medicaid
See all 89 CareFirst BCBS rates in Hawaii

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FAQ

Frequently asked questions

What does CareFirst BCBS pay for 97153 in Hawaii?

The median of CareFirst BCBS's published Hawaii rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 10 rates and 24 providers in the October 2026 files.

Does CareFirst BCBS pay more than Hawaii Medicaid for 97153?

CareFirst BCBS's median is 39% above the Medicaid fee-for-service rate of $17.66 per 15 min.

What does CareFirst BCBS pay for 97155 in Hawaii?

The median of CareFirst BCBS's published Hawaii rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 10 rates and 24 providers in the October 2026 files.

Does CareFirst BCBS pay more than Hawaii Medicaid for 97155?

CareFirst BCBS's median is 9.3% below the Medicaid fee-for-service rate of $35.94 per 15 min.

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

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