CareFirst BCBS reimbursement rates in New York
Across 17 published rates from 130 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New York. That is 154% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 93
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs New York Medicaid
CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New York is $32.61 per 15 min, across 16 published rates from 130 providers. That is 69% above New York Medicaid's fee-for-service rate of $19.26. CareFirst BCBS publishes New York rates for 93 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $9.63154% above | — | 17130 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $19.2669% above | — | 16130 providers |
All 93 CareFirst BCBS codes with a median in New York
Frequently asked questions
What does CareFirst BCBS pay for 97153 in New York?
The median of CareFirst BCBS's published New York rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 17 rates and 130 providers in the October 2026 files.
Does CareFirst BCBS pay more than New York Medicaid for 97153?
CareFirst BCBS's median is 154% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does CareFirst BCBS pay for 97155 in New York?
The median of CareFirst BCBS's published New York rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 16 rates and 130 providers in the October 2026 files.
Does CareFirst BCBS pay more than New York Medicaid for 97155?
CareFirst BCBS's median is 69% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does CareFirst BCBS publish rates for in New York?
93 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in New York. The full list, with ranges and modifier tiers, is in the workspace.