Horizon BCBS NJ reimbursement rates in Maryland
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in Maryland is $29.41 per 15 min, across 26 published rates from 62 providers. That is 41% above Maryland Medicaid's fee-for-service rate of $20.91.
- Codes with a median
- 78
- 97153 median
- $29.41per 15 min
- Files
- September 2026
On this page
Horizon BCBS NJ vs Maryland Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published Maryland rates is $29.41 per 15 min (26 rates, 62 providers). That is 23% below Maryland Medicaid's fee-for-service rate of $38.34. Horizon BCBS NJ publishes Maryland rates for 78 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | Maryland Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $20.9141% above | — | 2662 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $38.3423% below | — | 2662 providers |
All 78 Horizon BCBS NJ codes with a median in Maryland
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Maryland?
The median of Horizon BCBS NJ's published Maryland rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 26 rates and 62 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Maryland Medicaid for 97153?
Horizon BCBS NJ's median is 41% above the Medicaid fee-for-service rate of $20.91 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Maryland?
The median of Horizon BCBS NJ's published Maryland rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 26 rates and 62 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Maryland Medicaid for 97155?
Horizon BCBS NJ's median is 23% below the Medicaid fee-for-service rate of $38.34 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Maryland?
78 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Maryland. The full list, with ranges and modifier tiers, is in the workspace.