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Horizon BCBS NJ · Utah · September 2026

Horizon BCBS NJ reimbursement rates in Utah

Across 7 published rates from 8 providers, Horizon BCBS NJ pays a median of $29.41 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Utah. That is 50% above Utah Medicaid's fee-for-service rate of $19.67.

Updated 2026-10-08Source: payer price-transparency files

Codes with a median
42
97153 median
$29.41per 15 min
Files
September 2026
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Headline rates

Horizon BCBS NJ vs Utah Medicaid

Horizon BCBS NJ's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Utah is $29.41 per 15 min, across 7 published rates from 8 providers. That is 22% below Utah Medicaid's fee-for-service rate of $37.51. Horizon BCBS NJ publishes Utah rates for 42 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeHorizon BCBS NJ medianPer hourUtah MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$29.41per 15 min$117.64$19.6750% above—78 providers
97155ABA therapy led by the analyst (plan adjusted in session)$29.41per 15 min$117.64$37.5122% below—78 providers
Horizon BCBS NJ median$29.41
Utah Medicaid$19.67
97153, per 15 min. September 2026 files.
Every code

All 42 Horizon BCBS NJ codes with a median in Utah

CodeMedianp25–p75vs Medicaid
See all 42 Horizon BCBS NJ rates in Utah

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FAQ

Frequently asked questions

What does Horizon BCBS NJ pay for 97153 in Utah?

The median of Horizon BCBS NJ's published Utah rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 7 rates and 8 providers in the September 2026 files.

Does Horizon BCBS NJ pay more than Utah Medicaid for 97153?

Horizon BCBS NJ's median is 50% above the Medicaid fee-for-service rate of $19.67 per 15 min.

What does Horizon BCBS NJ pay for 97155 in Utah?

The median of Horizon BCBS NJ's published Utah rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 7 rates and 8 providers in the September 2026 files.

Does Horizon BCBS NJ pay more than Utah Medicaid for 97155?

Horizon BCBS NJ's median is 22% below the Medicaid fee-for-service rate of $37.51 per 15 min.

How many codes does Horizon BCBS NJ publish rates for in Utah?

42 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Utah. The full list, with ranges and modifier tiers, is in the workspace.