Horizon BCBS NJ ABA reimbursement rates in Virginia
For ABA therapy by a technician (97153), Horizon BCBS NJ's median in Virginia is $29.41 per 15 min, or $117.64 an hour, from 21 published rates. That is 25% above Virginia Medicaid ($23.48).
- 97153 median
- $29.41per 15 min
- 97155 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Virginia Medicaid and TRICARE
For protocol modification by the analyst (97155), Horizon BCBS NJ's median in Virginia is $29.41 per 15 min, or $117.64 an hour, from 21 published rates. That is 25% below Virginia Medicaid ($39.40). Horizon BCBS NJ pays 1.00 times as much for analyst time as for technician time in Virginia. Figures come from Horizon BCBS NJ's September 2026 price-transparency files.
| Code | Horizon BCBS NJ median | Per hour | Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $23.48 | — | 2150 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $39.40 | — | 2150 providers |
Every ABA code Horizon BCBS NJ publishes in Virginia
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Virginia?
The median of Horizon BCBS NJ's published Virginia rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 21 rates and 50 providers in the September 2026 files.
What does Horizon BCBS NJ pay for 97155 in Virginia?
The median of Horizon BCBS NJ's published Virginia rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 21 rates and 50 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Virginia Medicaid for ABA?
For 97153, Horizon BCBS NJ's median is 25% above the Virginia Medicaid fee-for-service rate of $23.48 per 15 min.