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97154 · New Jersey · every payer

What every payer pays for 97154 in New Jersey

6 commercial payers publish New Jersey rates for 97154 (group ABA therapy by a technician), and the median of their medians is $6.80 per 15 min. New Jersey Medicaid's fee-for-service rate, $4.80 per 15 min, is 29% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$6.80per 15 min
New Jersey Medicaid
$4.80
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Payer mix

97154 in New Jersey, by payer type

New Jersey Medicaid$4.80
Commercial (6 payers)$6.80
UnitedHealthcare$4.09
Horizon BCBS NJ$4.22
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97154 rate in New Jersey

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$4.09 per 15 min$16.36127
Horizon BCBS NJCommercial$4.22 per 15 min$16.88115
See every payer's 97154 rate in New Jersey

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97154 in New Jersey?

The median of 6 payers' medians is $6.80 per 15 min, from 370 published rates in the October 2026 files.

How does New Jersey Medicaid compare with commercial insurance for 97154?

New Jersey Medicaid pays $4.80 per 15 min, 29% below the commercial median.

What does UnitedHealthcare pay for 97154 in New Jersey?

UnitedHealthcare's median is $4.09 per 15 min, from 127 rates and 295 providers.

What does Horizon BCBS NJ pay for 97154 in New Jersey?

Horizon BCBS NJ's median is $4.22 per 15 min, from 115 rates and 1065 providers.