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BCBS Michigan · New Jersey · October 2026

BCBS Michigan reimbursement rates in New Jersey

Across 5 published rates from 14 providers, BCBS Michigan pays a median of $22.20 per 15 min for 97153 (one-on-one ABA therapy by a technician) in New Jersey. That is 98% above New Jersey Medicaid's fee-for-service rate of $11.20.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
52
97153 median
$22.20per 15 min
Files
October 2026
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Headline rates

BCBS Michigan vs New Jersey Medicaid

BCBS Michigan's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New Jersey is $32.78 per 15 min, across 5 published rates from 14 providers. That is 54% above New Jersey Medicaid's fee-for-service rate of $21.25. BCBS Michigan publishes New Jersey rates for 52 of the codes we track. Figures are from the October 2026 files.

CodeBCBS Michigan medianPer hourNew Jersey MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$22.20per 15 min$88.80$11.2098% above—514 providers
97155ABA therapy led by the analyst (plan adjusted in session)$32.78per 15 min$131.12$21.2554% above—514 providers
BCBS Michigan median$22.20
New Jersey Medicaid$11.20
97153, per 15 min. October 2026 files.
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All 52 BCBS Michigan codes with a median in New Jersey

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FAQ

Frequently asked questions

What does BCBS Michigan pay for 97153 in New Jersey?

The median of BCBS Michigan's published New Jersey rates for 97153 is $22.20 per 15 min ($88.80 per hour), from 5 rates and 14 providers in the October 2026 files.

Does BCBS Michigan pay more than New Jersey Medicaid for 97153?

BCBS Michigan's median is 98% above the Medicaid fee-for-service rate of $11.20 per 15 min.

What does BCBS Michigan pay for 97155 in New Jersey?

The median of BCBS Michigan's published New Jersey rates for 97155 is $32.78 per 15 min ($131.12 per hour), from 5 rates and 14 providers in the October 2026 files.

Does BCBS Michigan pay more than New Jersey Medicaid for 97155?

BCBS Michigan's median is 54% above the Medicaid fee-for-service rate of $21.25 per 15 min.

How many codes does BCBS Michigan publish rates for in New Jersey?

52 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS Michigan median in New Jersey. The full list, with ranges and modifier tiers, is in the workspace.