Horizon BCBS NJ reimbursement rates in District of Columbia
Across 7 published rates from 8 providers, Horizon BCBS NJ pays a median of $29.79 per 15 min for 97153 (one-on-one ABA therapy by a technician) in District of Columbia. That is 8.3% above District of Columbia Medicaid's fee-for-service rate of $27.50.
- Codes with a median
- 43
- 97153 median
- $29.79per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs District of Columbia Medicaid
Horizon BCBS NJ's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in District of Columbia is $29.79 per 15 min, across 7 published rates from 8 providers. That is 4.7% below District of Columbia Medicaid's fee-for-service rate of $31.25. Horizon BCBS NJ publishes District of Columbia rates for 43 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.79per 15 min | $119.16 | $27.508.3% above | — | 78 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.79per 15 min | $119.16 | $31.254.7% below | — | 78 providers |
All 43 Horizon BCBS NJ codes with a median in District of Columbia
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in District of Columbia?
The median of Horizon BCBS NJ's published District of Columbia rates for 97153 is $29.79 per 15 min ($119.16 per hour), from 7 rates and 8 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than District of Columbia Medicaid for 97153?
Horizon BCBS NJ's median is 8.3% above the Medicaid fee-for-service rate of $27.50 per 15 min.
What does Horizon BCBS NJ pay for 97155 in District of Columbia?
The median of Horizon BCBS NJ's published District of Columbia rates for 97155 is $29.79 per 15 min ($119.16 per hour), from 7 rates and 8 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than District of Columbia Medicaid for 97155?
Horizon BCBS NJ's median is 4.7% below the Medicaid fee-for-service rate of $31.25 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in District of Columbia?
43 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in District of Columbia. The full list, with ranges and modifier tiers, is in the workspace.