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CareFirst BCBS · Michigan · October 2026

CareFirst BCBS reimbursement rates in Michigan

For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published Michigan rates is $24.46 per 15 min (8 rates, 48 providers). Michigan Medicaid publishes no comparable fee-for-service rate for 97153.

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

Codes with a median
80
97153 median
$24.46per 15 min
Files
October 2026
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Headline rates

CareFirst BCBS vs Michigan Medicaid

Across 8 published rates from 48 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 Michigan. Michigan Medicaid publishes no comparable fee-for-service rate for 97155. CareFirst BCBS publishes Michigan rates for 80 of the codes we track. Figures are from the October 2026 files.

CodeCareFirst BCBS medianPer hourMichigan MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$24.46per 15 min$97.84——848 providers
97155ABA therapy led by the analyst (plan adjusted in session)$32.61per 15 min$130.44——848 providers
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All 80 CareFirst BCBS codes with a median in Michigan

CodeMedianp25–p75vs Medicaid
See all 80 CareFirst BCBS rates in Michigan

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FAQ

Frequently asked questions

What does CareFirst BCBS pay for 97153 in Michigan?

The median of CareFirst BCBS's published Michigan rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 8 rates and 48 providers in the October 2026 files.

What does CareFirst BCBS pay for 97155 in Michigan?

The median of CareFirst BCBS's published Michigan rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 8 rates and 48 providers in the October 2026 files.

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

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