Horizon BCBS NJ reimbursement rates in Iowa
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in Iowa is $30.17 per 15 min, across 6 published rates from 6 providers. That is 5.5% above Iowa Medicaid's fee-for-service rate of $28.59.
- Codes with a median
- 42
- 97153 median
- $30.17per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Iowa Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published Iowa rates is $30.17 per 15 min (6 rates, 6 providers). That is 18% below Iowa Medicaid's fee-for-service rate of $36.81. Horizon BCBS NJ publishes Iowa rates for 42 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | Iowa Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $30.17per 15 min | $120.68 | $28.595.5% above | — | 66 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.17per 15 min | $120.68 | $36.8118% below | — | 66 providers |
All 42 Horizon BCBS NJ codes with a median in Iowa
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Iowa?
The median of Horizon BCBS NJ's published Iowa rates for 97153 is $30.17 per 15 min ($120.68 per hour), from 6 rates and 6 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Iowa Medicaid for 97153?
Horizon BCBS NJ's median is 5.5% above the Medicaid fee-for-service rate of $28.59 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Iowa?
The median of Horizon BCBS NJ's published Iowa rates for 97155 is $30.17 per 15 min ($120.68 per hour), from 6 rates and 6 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Iowa Medicaid for 97155?
Horizon BCBS NJ's median is 18% below the Medicaid fee-for-service rate of $36.81 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Iowa?
42 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Iowa. The full list, with ranges and modifier tiers, is in the workspace.