Horizon BCBS NJ ABA reimbursement rates in Pennsylvania
For ABA therapy by a technician (97153), Horizon BCBS NJ's median in Pennsylvania is $29.41 per 15 min, or $117.64 an hour, from 49 published rates. That is 131% above Pennsylvania Medicaid ($12.73).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Pennsylvania Medicaid and TRICARE
For protocol modification by the analyst (97155), Horizon BCBS NJ's median in Pennsylvania is $29.41 per 15 min, or $117.64 an hour, from 49 published rates. That is 33% above Pennsylvania Medicaid ($22.09). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in Pennsylvania. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $12.73 | — | 49192 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $22.09 | — | 49192 providers |
Every ABA code Horizon BCBS NJ publishes in Pennsylvania
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Pennsylvania?
The median of Horizon BCBS NJ's published Pennsylvania rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 49 rates and 192 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in Pennsylvania?
The median of Horizon BCBS NJ's published Pennsylvania rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 49 rates and 192 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Pennsylvania Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 131% above the Pennsylvania Medicaid fee-for-service rate of $12.73 per 15 min.