Horizon BCBS NJ reimbursement rates in Missouri
For 97153 (one-on-one ABA therapy by a technician), the median of Horizon BCBS NJ's published Missouri rates is $29.79 per 15 min (10 rates, 9 providers). That is 68% above Missouri Medicaid's fee-for-service rate of $17.73.
- Codes with a median
- 43
- 97153 median
- $29.79per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Missouri Medicaid
Across 10 published rates from 9 providers, Horizon BCBS NJ pays a median of $29.79 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Missouri. That is 18% above Missouri Medicaid's fee-for-service rate of $25.26. Horizon BCBS NJ publishes Missouri 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 | Missouri Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.79per 15 min | $119.16 | $17.7368% above | — | 109 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.79per 15 min | $119.16 | $25.2618% above | — | 109 providers |
All 43 Horizon BCBS NJ codes with a median in Missouri
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Missouri?
The median of Horizon BCBS NJ's published Missouri rates for 97153 is $29.79 per 15 min ($119.16 per hour), from 10 rates and 9 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Missouri Medicaid for 97153?
Horizon BCBS NJ's median is 68% above the Medicaid fee-for-service rate of $17.73 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Missouri?
The median of Horizon BCBS NJ's published Missouri rates for 97155 is $29.79 per 15 min ($119.16 per hour), from 10 rates and 9 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Missouri Medicaid for 97155?
Horizon BCBS NJ's median is 18% above the Medicaid fee-for-service rate of $25.26 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Missouri?
43 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Missouri. The full list, with ranges and modifier tiers, is in the workspace.