Horizon BCBS NJ ABA reimbursement rates in South Carolina
Horizon BCBS NJ pays a median of $29.41 per 15 min ($117.64 an hour) for ABA therapy by a technician (97153) in South Carolina, across 11 rates and 19 providers. That is 98% above South Carolina Medicaid ($14.88).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs South Carolina 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 South Carolina, across 11 rates and 19 providers. That is 38% above South Carolina Medicaid ($21.25). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in South Carolina. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $14.88 | — | 1119 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $21.25 | — | 1119 providers |
Every ABA code Horizon BCBS NJ publishes in South Carolina
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in South Carolina?
The median of Horizon BCBS NJ's published South Carolina rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 11 rates and 19 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in South Carolina?
The median of Horizon BCBS NJ's published South Carolina rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 11 rates and 19 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than South Carolina Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 98% above the South Carolina Medicaid fee-for-service rate of $14.88 per 15 min.