CareFirst BCBS reimbursement rates in Washington
For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published Washington rates is $24.46 per 15 min (13 rates, 42 providers). That is 97% above Washington Medicaid's fee-for-service rate of $12.40.
- Codes with a median
- 91
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Washington Medicaid
Across 13 published rates from 42 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 Washington. That is 131% above Washington Medicaid's fee-for-service rate of $14.09. CareFirst BCBS publishes Washington rates for 91 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Washington Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $12.4097% above | — | 1342 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $14.09131% above | — | 1342 providers |
All 91 CareFirst BCBS codes with a median in Washington
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Washington?
The median of CareFirst BCBS's published Washington rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 13 rates and 42 providers in the October 2026 files.
Does CareFirst BCBS pay more than Washington Medicaid for 97153?
CareFirst BCBS's median is 97% above the Medicaid fee-for-service rate of $12.40 per 15 min.
What does CareFirst BCBS pay for 97155 in Washington?
The median of CareFirst BCBS's published Washington rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 13 rates and 42 providers in the October 2026 files.
Does CareFirst BCBS pay more than Washington Medicaid for 97155?
CareFirst BCBS's median is 131% above the Medicaid fee-for-service rate of $14.09 per 15 min.
How many codes does CareFirst BCBS publish rates for in Washington?
91 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Washington. The full list, with ranges and modifier tiers, is in the workspace.