Horizon BCBS NJ reimbursement rates in New Jersey
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in New Jersey is $29.41 per 15 min, across 117 published rates from 1056 providers. That is 163% above New Jersey Medicaid's fee-for-service rate of $11.20.
- Codes with a median
- 93
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs New Jersey Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published New Jersey rates is $29.41 per 15 min (118 rates, 1056 providers). That is 38% above New Jersey Medicaid's fee-for-service rate of $21.25. Horizon BCBS NJ publishes New Jersey rates for 93 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | New Jersey Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $11.20163% above | — | 1171056 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $21.2538% above | — | 1181056 providers |
All 93 Horizon BCBS NJ codes with a median in New Jersey
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in New Jersey?
The median of Horizon BCBS NJ's published New Jersey rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 117 rates and 1056 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New Jersey Medicaid for 97153?
Horizon BCBS NJ's median is 163% above the Medicaid fee-for-service rate of $11.20 per 15 min.
What does Horizon BCBS NJ pay for 97155 in New Jersey?
The median of Horizon BCBS NJ's published New Jersey rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 118 rates and 1056 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New Jersey Medicaid for 97155?
Horizon BCBS NJ's median is 38% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in New Jersey?
93 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in New Jersey. The full list, with ranges and modifier tiers, is in the workspace.