Horizon BCBS NJ ABA reimbursement rates in District of Columbia
For ABA therapy by a technician (97153), Horizon BCBS NJ's median in District of Columbia is $29.79 per 15 min, or $119.16 an hour, from 7 published rates. That is 8.3% above District of Columbia Medicaid ($27.50).
- 97153 median
- $29.79per 15 min
- 97155 median
- $29.79per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs District of Columbia Medicaid and TRICARE
For protocol modification by the analyst (97155), Horizon BCBS NJ's median in District of Columbia is $29.79 per 15 min, or $119.16 an hour, from 7 published rates. That is 4.7% below District of Columbia Medicaid ($31.25). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in District of Columbia. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | District of Columbia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.79per 15 min | $119.16 | $27.50 | — | 78 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.79per 15 min | $119.16 | $31.25 | — | 78 providers |
Every ABA code Horizon BCBS NJ publishes in District of Columbia
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in District of Columbia?
The median of Horizon BCBS NJ's published District of Columbia rates for 97153 is $29.79 per 15 min ($119.16 per hour), from 7 rates and 8 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in District of Columbia?
The median of Horizon BCBS NJ's published District of Columbia rates for 97155 is $29.79 per 15 min ($119.16 per hour), from 7 rates and 8 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than District of Columbia Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 8.3% above the District of Columbia Medicaid fee-for-service rate of $27.50 per 15 min.