Horizon BCBS NJ ABA reimbursement rates in North Carolina
For ABA therapy by a technician (97153), Horizon BCBS NJ's median in North Carolina is $29.41 per 15 min, or $117.64 an hour, from 15 published rates. That is 41% above North Carolina Medicaid ($20.81).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs North Carolina Medicaid and TRICARE
For protocol modification by the analyst (97155), Horizon BCBS NJ's median in North Carolina is $29.41 per 15 min, or $117.64 an hour, from 15 published rates. That is 8.7% below North Carolina Medicaid ($32.22). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in North Carolina. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | North Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $20.81 | — | 1540 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $32.22 | — | 1540 providers |
Every ABA code Horizon BCBS NJ publishes in North Carolina
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in North Carolina?
The median of Horizon BCBS NJ's published North Carolina rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 15 rates and 40 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in North Carolina?
The median of Horizon BCBS NJ's published North Carolina rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 15 rates and 40 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than North Carolina Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 41% above the North Carolina Medicaid fee-for-service rate of $20.81 per 15 min.