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Horizon BCBS NJ · 50 states · October 2026

Horizon BCBS NJ reimbursement rates by state

Horizon BCBS NJ publishes negotiated rates for 93 of the codes we track in 50 states, in commercial, marketplace (aca) plans. For 97153 (one-on-one ABA therapy by a technician), its median ranges from $19.00 in Vermont to $42.99 in Montana per 15 min.

Updated 2026-10-08Source: payer price-transparency files

States
50
Codes with a median
93
Files
October 2026
97153

Horizon BCBS NJ median for 97153, by state

Per 15 min, with each state's Medicaid rate in the same unit.

StateHorizon BCBS NJ medianMedicaidRates (n)
Montana$42.99$11.3613
Oregon$40.33$14.7016
Iowa$30.17$28.596
Maine$29.41—7
Michigan$29.41—16
Kentucky$19.00$12.187
Vermont$19.00$15.006
See Horizon BCBS NJ in all 42 states

Every state's median, range and n for every code, beside Medicaid, Medicare and TRICARE. 7-day free trial.

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Codes

Codes with a Horizon BCBS NJ median

Each code links to its Medicaid rate by state.

0191, 0192, 0193, 0194, 0362T, 0373T, 0552, 0572, 0582, 0651, 0652, 0655, 0656, 90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90865, 90867, 90868, 90869, 90870, 90875, 90880, 90887, 92507, 92508, 92521, 92522, 92523, 92524, 92526, 92609, 92610, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 97110, 97112, 97113, 97116, 97129, 97130, 97140, 97150, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97542, 97760, 97761, 97763, H0001, H0014, H0015, H0032, H0035, S9123, S9124

FAQ

Frequently asked questions

Where does Horizon BCBS NJ publish rates?

Horizon BCBS NJ has state pages here for Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, PR, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia, each built from its October 2026 price-transparency files.

Which state has Horizon BCBS NJ's highest median for 97153?

Montana, at $42.99 per 15 min (13 rates).

How are Horizon BCBS NJ's rates compared with Medicaid?

Each state page puts Horizon BCBS NJ's median next to that state's Medicaid fee-for-service rate in the same unit, and next to TRICARE where it pays for the code.