CareFirst BCBS reimbursement rates in Wisconsin
Across 8 published rates from 19 providers, CareFirst BCBS pays a median of $24.46 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Wisconsin. That is 17% above Wisconsin Medicaid's fee-for-service rate of $20.84.
- Codes with a median
- 89
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Wisconsin Medicaid
CareFirst BCBS's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Wisconsin is $32.61 per 15 min, across 8 published rates from 19 providers. That is 42% above Wisconsin Medicaid's fee-for-service rate of $22.93. CareFirst BCBS publishes Wisconsin rates for 89 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Wisconsin Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $20.8417% above | — | 819 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $22.9342% above | — | 819 providers |
All 89 CareFirst BCBS codes with a median in Wisconsin
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Wisconsin?
The median of CareFirst BCBS's published Wisconsin rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 8 rates and 19 providers in the October 2026 files.
Does CareFirst BCBS pay more than Wisconsin Medicaid for 97153?
CareFirst BCBS's median is 17% above the Medicaid fee-for-service rate of $20.84 per 15 min.
What does CareFirst BCBS pay for 97155 in Wisconsin?
The median of CareFirst BCBS's published Wisconsin rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 8 rates and 19 providers in the October 2026 files.
Does CareFirst BCBS pay more than Wisconsin Medicaid for 97155?
CareFirst BCBS's median is 42% above the Medicaid fee-for-service rate of $22.93 per 15 min.
How many codes does CareFirst BCBS publish rates for in Wisconsin?
89 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Wisconsin. The full list, with ranges and modifier tiers, is in the workspace.