CareFirst BCBS reimbursement rates in New Mexico
Across 5 published rates from 21 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New Mexico. That is 24% below New Mexico Medicaid's fee-for-service rate of $32.31.
- Codes with a median
- 82
- 97153 median
- $24.46per 15 min
- Files
- October 2026
On this page
CareFirst BCBS vs New Mexico Medicaid
CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New Mexico is $32.61 per 15 min, across 5 published rates from 21 providers. That is 18% below New Mexico Medicaid's fee-for-service rate of $39.69. CareFirst BCBS publishes New Mexico rates for 82 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | New Mexico Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $32.3124% below | — | 521 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $39.6918% below | — | 521 providers |
All 82 CareFirst BCBS codes with a median in New Mexico
Frequently asked questions
What does CareFirst BCBS pay for 97153 in New Mexico?
The median of CareFirst BCBS's published New Mexico rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 5 rates and 21 providers in the October 2026 files.
Does CareFirst BCBS pay more than New Mexico Medicaid for 97153?
CareFirst BCBS's median is 24% below the Medicaid fee-for-service rate of $32.31 per 15 min.
What does CareFirst BCBS pay for 97155 in New Mexico?
The median of CareFirst BCBS's published New Mexico rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 5 rates and 21 providers in the October 2026 files.
Does CareFirst BCBS pay more than New Mexico Medicaid for 97155?
CareFirst BCBS's median is 18% below the Medicaid fee-for-service rate of $39.69 per 15 min.
How many codes does CareFirst BCBS publish rates for in New Mexico?
82 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in New Mexico. The full list, with ranges and modifier tiers, is in the workspace.