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Horizon BCBS NJ · Oregon · September 2026

Horizon BCBS NJ reimbursement rates in Oregon

Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in Oregon is $40.33 per 15 min, across 16 published rates from 16 providers. That is 174% above Oregon Medicaid's fee-for-service rate of $14.70.

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

Codes with a median
43
97153 median
$40.33per 15 min
Files
September 2026
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Headline rates

Horizon BCBS NJ vs Oregon Medicaid

For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published Oregon rates is $40.33 per 15 min (16 rates, 16 providers). That is 26% above Oregon Medicaid's fee-for-service rate of $32.07. Horizon BCBS NJ publishes Oregon rates for 43 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeHorizon BCBS NJ medianPer hourOregon MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$40.33per 15 min$161.32$14.70174% above—1616 providers
97155ABA therapy led by the analyst (plan adjusted in session)$40.33per 15 min$161.32$32.0726% above—1616 providers
Horizon BCBS NJ median$40.33
Oregon Medicaid$14.70
97153, per 15 min. September 2026 files.
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All 43 Horizon BCBS NJ codes with a median in Oregon

CodeMedianp25–p75vs Medicaid
See all 43 Horizon BCBS NJ rates in Oregon

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FAQ

Frequently asked questions

What does Horizon BCBS NJ pay for 97153 in Oregon?

The median of Horizon BCBS NJ's published Oregon rates for 97153 is $40.33 per 15 min ($161.32 per hour), from 16 rates and 16 providers in the September 2026 files.

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

Horizon BCBS NJ's median is 174% above the Medicaid fee-for-service rate of $14.70 per 15 min.

What does Horizon BCBS NJ pay for 97155 in Oregon?

The median of Horizon BCBS NJ's published Oregon rates for 97155 is $40.33 per 15 min ($161.32 per hour), from 16 rates and 16 providers in the September 2026 files.

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

Horizon BCBS NJ's median is 26% above the Medicaid fee-for-service rate of $32.07 per 15 min.

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

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