Horizon BCBS NJ reimbursement rates in Vermont
For 97153 (one-on-one ABA therapy by a technician), the median of Horizon BCBS NJ's published Vermont rates is $19.00 per 15 min (6 rates, 7 providers). That is 27% above Vermont Medicaid's fee-for-service rate of $15.00.
- Codes with a median
- 41
- 97153 median
- $19.00per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Vermont Medicaid
Across 6 published rates from 7 providers, Horizon BCBS NJ pays a median of $22.00 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Vermont. That is 55% below Vermont Medicaid's fee-for-service rate of $49.35. Horizon BCBS NJ publishes Vermont rates for 41 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | Vermont Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $19.00per 15 min | $76.00 | $15.0027% above | — | 67 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $22.00per 15 min | $88.00 | $49.3555% below | — | 67 providers |
All 41 Horizon BCBS NJ codes with a median in Vermont
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Vermont?
The median of Horizon BCBS NJ's published Vermont rates for 97153 is $19.00 per 15 min ($76.00 per hour), from 6 rates and 7 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Vermont Medicaid for 97153?
Horizon BCBS NJ's median is 27% above the Medicaid fee-for-service rate of $15.00 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Vermont?
The median of Horizon BCBS NJ's published Vermont rates for 97155 is $22.00 per 15 min ($88.00 per hour), from 6 rates and 7 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Vermont Medicaid for 97155?
Horizon BCBS NJ's median is 55% below the Medicaid fee-for-service rate of $49.35 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Vermont?
41 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Vermont. The full list, with ranges and modifier tiers, is in the workspace.