BCBS North Carolina reimbursement rates in New Jersey
For 97153 (one-on-one ABA therapy by a technician), the median of BCBS North Carolina's published New Jersey rates is $34.01 per 15 min (17 rates, 81 providers). That is 204% above New Jersey Medicaid's fee-for-service rate of $11.20.
- Codes with a median
- 75
- 97153 median
- $34.01per 15 min
- Files
- September 2026
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BCBS North Carolina vs New Jersey Medicaid
Across 17 published rates from 81 providers, BCBS North Carolina pays a median of $34.01 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in New Jersey. That is 60% above New Jersey Medicaid's fee-for-service rate of $21.25. BCBS North Carolina publishes New Jersey rates for 75 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | BCBS North Carolina median | Per hour | New Jersey Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $34.01per 15 min | $136.04 | $11.20204% above | — | 1781 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $34.01per 15 min | $136.04 | $21.2560% above | — | 1781 providers |
All 75 BCBS North Carolina codes with a median in New Jersey
Frequently asked questions
What does BCBS North Carolina pay for 97153 in New Jersey?
The median of BCBS North Carolina's published New Jersey rates for 97153 is $34.01 per 15 min ($136.04 per hour), from 17 rates and 81 providers in the September 2026 files.
Does BCBS North Carolina pay more than New Jersey Medicaid for 97153?
BCBS North Carolina's median is 204% above the Medicaid fee-for-service rate of $11.20 per 15 min.
What does BCBS North Carolina pay for 97155 in New Jersey?
The median of BCBS North Carolina's published New Jersey rates for 97155 is $34.01 per 15 min ($136.04 per hour), from 17 rates and 81 providers in the September 2026 files.
Does BCBS North Carolina pay more than New Jersey Medicaid for 97155?
BCBS North Carolina's median is 60% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does BCBS North Carolina publish rates for in New Jersey?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a BCBS North Carolina median in New Jersey. The full list, with ranges and modifier tiers, is in the workspace.