Horizon BCBS NJ reimbursement rates in New Mexico
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in New Mexico is $29.41 per 15 min, across 8 published rates from 20 providers. That is 9.0% below New Mexico Medicaid's fee-for-service rate of $32.31.
- Codes with a median
- 75
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs New Mexico Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published New Mexico rates is $29.41 per 15 min (8 rates, 20 providers). That is 26% below New Mexico Medicaid's fee-for-service rate of $39.69. Horizon BCBS NJ publishes New Mexico rates for 75 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.
| Code | Horizon BCBS NJ median | Per hour | New Mexico Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $32.319.0% below | — | 820 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $39.6926% below | — | 820 providers |
All 75 Horizon BCBS NJ codes with a median in New Mexico
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in New Mexico?
The median of Horizon BCBS NJ's published New Mexico rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 8 rates and 20 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New Mexico Medicaid for 97153?
Horizon BCBS NJ's median is 9.0% below the Medicaid fee-for-service rate of $32.31 per 15 min.
What does Horizon BCBS NJ pay for 97155 in New Mexico?
The median of Horizon BCBS NJ's published New Mexico rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 8 rates and 20 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than New Mexico Medicaid for 97155?
Horizon BCBS NJ's median is 26% below the Medicaid fee-for-service rate of $39.69 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in New Mexico?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in New Mexico. The full list, with ranges and modifier tiers, is in the workspace.