Horizon BCBS NJ ABA reimbursement rates in New York
For ABA therapy by a technician (97153), Horizon BCBS NJ's median in New York is $29.41 per 15 min, or $117.64 an hour, from 66 published rates. That is 205% above New York Medicaid ($9.63).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs New York Medicaid and TRICARE
For protocol modification by the analyst (97155), Horizon BCBS NJ's median in New York is $29.41 per 15 min, or $117.64 an hour, from 65 published rates. That is 53% above New York Medicaid ($19.26). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in New York. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | New York Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $9.63 | — | 66265 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $19.26 | — | 65265 providers |
Every ABA code Horizon BCBS NJ publishes in New York
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in New York?
The median of Horizon BCBS NJ's published New York rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 66 rates and 265 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in New York?
The median of Horizon BCBS NJ's published New York rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 65 rates and 265 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New York Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 205% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.