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Horizon BCBS NJ · Hawaii · September 2026

Horizon BCBS NJ reimbursement rates in Hawaii

Across 7 published rates from 13 providers, Horizon BCBS NJ pays a median of $29.41 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Hawaii. That is 67% above Hawaii Medicaid's fee-for-service rate of $17.66.

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

Codes with a median
74
97153 median
$29.41per 15 min
Files
September 2026
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Headline rates

Horizon BCBS NJ vs Hawaii Medicaid

Horizon BCBS NJ's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Hawaii is $29.41 per 15 min, across 7 published rates from 13 providers. That is 18% below Hawaii Medicaid's fee-for-service rate of $35.94. Horizon BCBS NJ publishes Hawaii rates for 74 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeHorizon BCBS NJ medianPer hourHawaii MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$29.41per 15 min$117.64$17.6667% above—713 providers
97155ABA therapy led by the analyst (plan adjusted in session)$29.41per 15 min$117.64$35.9418% below—713 providers
Horizon BCBS NJ median$29.41
Hawaii Medicaid$17.66
97153, per 15 min. September 2026 files.
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All 74 Horizon BCBS NJ codes with a median in Hawaii

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See all 74 Horizon BCBS NJ rates in Hawaii

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FAQ

Frequently asked questions

What does Horizon BCBS NJ pay for 97153 in Hawaii?

The median of Horizon BCBS NJ's published Hawaii rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 7 rates and 13 providers in the September 2026 files.

Does Horizon BCBS NJ pay more than Hawaii Medicaid for 97153?

Horizon BCBS NJ's median is 67% above the Medicaid fee-for-service rate of $17.66 per 15 min.

What does Horizon BCBS NJ pay for 97155 in Hawaii?

The median of Horizon BCBS NJ's published Hawaii rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 7 rates and 13 providers in the September 2026 files.

Does Horizon BCBS NJ pay more than Hawaii Medicaid for 97155?

Horizon BCBS NJ's median is 18% below the Medicaid fee-for-service rate of $35.94 per 15 min.

How many codes does Horizon BCBS NJ publish rates for in Hawaii?

74 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Hawaii. The full list, with ranges and modifier tiers, is in the workspace.