Horizon BCBS NJ reimbursement rates in North Carolina
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in North Carolina is $29.41 per 15 min, across 15 published rates from 40 providers. That is 41% above North Carolina Medicaid's fee-for-service rate of $20.81.
- Codes with a median
- 75
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs North Carolina Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published North Carolina rates is $29.41 per 15 min (15 rates, 40 providers). That is 8.7% below North Carolina Medicaid's fee-for-service rate of $32.22. Horizon BCBS NJ publishes North Carolina rates for 75 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $20.8141% above | — | 1540 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $32.228.7% below | — | 1540 providers |
All 75 Horizon BCBS NJ codes with a median in North Carolina
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in North Carolina?
The median of Horizon BCBS NJ's published North Carolina rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 15 rates and 40 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than North Carolina Medicaid for 97153?
Horizon BCBS NJ's median is 41% above the Medicaid fee-for-service rate of $20.81 per 15 min.
What does Horizon BCBS NJ pay for 97155 in North Carolina?
The median of Horizon BCBS NJ's published North Carolina rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 15 rates and 40 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than North Carolina Medicaid for 97155?
Horizon BCBS NJ's median is 8.7% below the Medicaid fee-for-service rate of $32.22 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in North Carolina?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in North Carolina. The full list, with ranges and modifier tiers, is in the workspace.