CareFirst BCBS reimbursement rates in Virginia
For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published Virginia rates is $24.46 per 15 min (44 rates, 997 providers). That is 4.2% above Virginia Medicaid's fee-for-service rate of $23.48.
- Codes with a median
- 105
- 97153 median
- $24.46per 15 min
- Files
- October 2026
On this page
CareFirst BCBS vs Virginia Medicaid
Across 43 published rates from 997 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 Virginia. That is 17% below Virginia Medicaid's fee-for-service rate of $39.40. CareFirst BCBS publishes Virginia rates for 105 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $23.484.2% above | — | 44997 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $39.4017% below | — | 43997 providers |
All 105 CareFirst BCBS codes with a median in Virginia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Virginia?
The median of CareFirst BCBS's published Virginia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 44 rates and 997 providers in the October 2026 files.
Does CareFirst BCBS pay more than Virginia Medicaid for 97153?
CareFirst BCBS's median is 4.2% above the Medicaid fee-for-service rate of $23.48 per 15 min.
What does CareFirst BCBS pay for 97155 in Virginia?
The median of CareFirst BCBS's published Virginia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 43 rates and 997 providers in the October 2026 files.
Does CareFirst BCBS pay more than Virginia Medicaid for 97155?
CareFirst BCBS's median is 17% below the Medicaid fee-for-service rate of $39.40 per 15 min.
How many codes does CareFirst BCBS publish rates for in Virginia?
105 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Virginia. The full list, with ranges and modifier tiers, is in the workspace.