CareFirst BCBS reimbursement rates in Missouri
For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published Missouri rates is $24.46 per 15 min (10 rates, 33 providers). That is 38% above Missouri Medicaid's fee-for-service rate of $17.73.
- Codes with a median
- 89
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Missouri Medicaid
Across 10 published rates from 33 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 Missouri. That is 29% above Missouri Medicaid's fee-for-service rate of $25.26. CareFirst BCBS publishes Missouri rates for 89 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Missouri Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $17.7338% above | — | 1033 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $25.2629% above | — | 1033 providers |
All 89 CareFirst BCBS codes with a median in Missouri
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Missouri?
The median of CareFirst BCBS's published Missouri rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 10 rates and 33 providers in the October 2026 files.
Does CareFirst BCBS pay more than Missouri Medicaid for 97153?
CareFirst BCBS's median is 38% above the Medicaid fee-for-service rate of $17.73 per 15 min.
What does CareFirst BCBS pay for 97155 in Missouri?
The median of CareFirst BCBS's published Missouri rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 10 rates and 33 providers in the October 2026 files.
Does CareFirst BCBS pay more than Missouri Medicaid for 97155?
CareFirst BCBS's median is 29% above the Medicaid fee-for-service rate of $25.26 per 15 min.
How many codes does CareFirst BCBS publish rates for in Missouri?
89 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Missouri. The full list, with ranges and modifier tiers, is in the workspace.