Horizon BCBS NJ reimbursement rates in South Carolina
Horizon BCBS NJ's median rate for 97153 (one-on-one ABA therapy by a technician) in South Carolina is $29.41 per 15 min, across 11 published rates from 19 providers. That is 98% above South Carolina Medicaid's fee-for-service rate of $14.88.
- Codes with a median
- 75
- 97153 median
- $29.41per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs South Carolina Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of Horizon BCBS NJ's published South Carolina rates is $29.41 per 15 min (11 rates, 19 providers). That is 38% above South Carolina Medicaid's fee-for-service rate of $21.25. Horizon BCBS NJ publishes South Carolina 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 | South Carolina Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $29.41per 15 min | $117.64 | $14.8898% above | — | 1119 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $29.41per 15 min | $117.64 | $21.2538% above | — | 1119 providers |
All 75 Horizon BCBS NJ codes with a median in South Carolina
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in South Carolina?
The median of Horizon BCBS NJ's published South Carolina rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 11 rates and 19 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than South Carolina Medicaid for 97153?
Horizon BCBS NJ's median is 98% above the Medicaid fee-for-service rate of $14.88 per 15 min.
What does Horizon BCBS NJ pay for 97155 in South Carolina?
The median of Horizon BCBS NJ's published South Carolina rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 11 rates and 19 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than South Carolina Medicaid for 97155?
Horizon BCBS NJ's median is 38% above the Medicaid fee-for-service rate of $21.25 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in South Carolina?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in South Carolina. The full list, with ranges and modifier tiers, is in the workspace.