Horizon BCBS NJ reimbursement rates in Massachusetts
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in Massachusetts is $29.41 per 15 min, across 23 published rates from 53 providers. That is 80% above Massachusetts Medicaid's fee-for-service rate of $16.37.
- Codes with a median
- 77
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Massachusetts Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published Massachusetts rates is $29.41 per 15 min (23 rates, 53 providers). That is 4.3% below Massachusetts Medicaid's fee-for-service rate of $30.73. Horizon BCBS NJ publishes Massachusetts rates for 77 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | Massachusetts Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $16.3780% above | — | 2353 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $30.734.3% below | — | 2353 providers |
All 77 Horizon BCBS NJ codes with a median in Massachusetts
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Massachusetts?
The median of Horizon BCBS NJ's published Massachusetts rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 23 rates and 53 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Massachusetts Medicaid for 97153?
Horizon BCBS NJ's median is 80% above the Medicaid fee-for-service rate of $16.37 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Massachusetts?
The median of Horizon BCBS NJ's published Massachusetts rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 23 rates and 53 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Massachusetts Medicaid for 97155?
Horizon BCBS NJ's median is 4.3% below the Medicaid fee-for-service rate of $30.73 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Massachusetts?
77 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Massachusetts. The full list, with ranges and modifier tiers, is in the workspace.