Horizon BCBS NJ ABA reimbursement rates in New Jersey
Horizon BCBS NJ pays a median of $29.41 per 15 min ($117.64 an hour) for ABA therapy by a technician (97153) in New Jersey, across 117 rates and 1056 providers. That is 163% above New Jersey Medicaid ($11.20).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs New Jersey Medicaid and TRICARE
Horizon BCBS NJ pays a median of $29.41 per 15 min ($117.64 an hour) for protocol modification by the analyst (97155) in New Jersey, across 118 rates and 1056 providers. That is 38% above New Jersey Medicaid ($21.25). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in New Jersey. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | New Jersey Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $11.20 | — | 1171056 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $21.25 | — | 1181056 providers |
Every ABA code Horizon BCBS NJ publishes in New Jersey
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in New Jersey?
The median of Horizon BCBS NJ's published New Jersey rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 117 rates and 1056 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in New Jersey?
The median of Horizon BCBS NJ's published New Jersey rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 118 rates and 1056 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New Jersey Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 163% above the New Jersey Medicaid fee-for-service rate of $11.20 per 15 min.