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ABA · Horizon BCBS NJ · Maryland

Horizon BCBS NJ ABA reimbursement rates in Maryland

For ABA therapy by a technician (97153), Horizon BCBS NJ's median in Maryland is $29.41 per 15 min, or $117.64 an hour, from 26 published rates. That is 41% above Maryland Medicaid ($20.91).

Updated 2026-10-08September 2026 files

97153 median
$29.41per 15 min
97155 median
$29.41per 15 min
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September 2026
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Horizon BCBS NJ vs Maryland Medicaid and TRICARE

For protocol modification by the analyst (97155), Horizon BCBS NJ's median in Maryland is $29.41 per 15 min, or $117.64 an hour, from 26 published rates. That is 23% below Maryland Medicaid ($38.34). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in Maryland. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.

CodeHorizon BCBS NJ medianPer hourMaryland MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$29.41per 15 min$117.64$20.91—2662 providers
97155ABA therapy led by the analyst (plan adjusted in session)$29.41per 15 min$117.64$38.34—2662 providers
Horizon BCBS NJ$29.41
Maryland Medicaid$20.91
97153, per 15 min.
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Every ABA code Horizon BCBS NJ publishes in Maryland

CodeMedianp25–p75vs Medicaid
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FAQ

Frequently asked questions

What does Horizon BCBS NJ pay for 97153 in Maryland?

The median of Horizon BCBS NJ's published Maryland rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 26 rates and 62 providers in the September 2026 files.

What does Horizon BCBS NJ pay for 97155 in Maryland?

The median of Horizon BCBS NJ's published Maryland rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 26 rates and 62 providers in the September 2026 files.

Does Horizon BCBS NJ pay more than Maryland Medicaid for ABA?

For 97153, Horizon BCBS NJ's median is 41% above the Maryland Medicaid fee-for-service rate of $20.91 per 15 min.