Horizon BCBS NJ reimbursement rates in New York
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in New York is $29.41 per 15 min, across 66 published rates from 265 providers. That is 205% above New York Medicaid's fee-for-service rate of $9.63.
- Codes with a median
- 78
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs New York Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published New York rates is $29.41 per 15 min (65 rates, 265 providers). That is 53% above New York Medicaid's fee-for-service rate of $19.26. Horizon BCBS NJ publishes New York 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 | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $9.63205% above | — | 66265 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $19.2653% above | — | 65265 providers |
All 78 Horizon BCBS NJ codes with a median in New York
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in New York?
The median of Horizon BCBS NJ's published New York rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 66 rates and 265 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New York Medicaid for 97153?
Horizon BCBS NJ's median is 205% above the Medicaid fee-for-service rate of $9.63 per 15 min.
What does Horizon BCBS NJ pay for 97155 in New York?
The median of Horizon BCBS NJ's published New York rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 65 rates and 265 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New York Medicaid for 97155?
Horizon BCBS NJ's median is 53% above the Medicaid fee-for-service rate of $19.26 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in New York?
78 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in New York. The full list, with ranges and modifier tiers, is in the workspace.