CareFirst BCBS reimbursement rates in Massachusetts
CareFirst BCBS's median rate for 97153 (one-on-one ABA therapy by a technician) in Massachusetts is $24.46 per 15 min, across 12 published rates from 80 providers. That is 49% above Massachusetts Medicaid's fee-for-service rate of $16.37.
- Codes with a median
- 88
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Massachusetts Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of CareFirst BCBS's published Massachusetts rates is $32.61 per 15 min (12 rates, 80 providers). That is 6.1% above Massachusetts Medicaid's fee-for-service rate of $30.73. CareFirst BCBS publishes Massachusetts rates for 88 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $16.3749% above | — | 1280 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $30.736.1% above | — | 1280 providers |
All 88 CareFirst BCBS codes with a median in Massachusetts
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Massachusetts?
The median of CareFirst BCBS's published Massachusetts rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 12 rates and 80 providers in the October 2026 files.
Does CareFirst BCBS pay more than Massachusetts Medicaid for 97153?
CareFirst BCBS's median is 49% above the Medicaid fee-for-service rate of $16.37 per 15 min.
What does CareFirst BCBS pay for 97155 in Massachusetts?
The median of CareFirst BCBS's published Massachusetts rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 12 rates and 80 providers in the October 2026 files.
Does CareFirst BCBS pay more than Massachusetts Medicaid for 97155?
CareFirst BCBS's median is 6.1% above the Medicaid fee-for-service rate of $30.73 per 15 min.
How many codes does CareFirst BCBS publish rates for in Massachusetts?
88 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Massachusetts. The full list, with ranges and modifier tiers, is in the workspace.