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Horizon BCBS NJ · Texas · September 2026

Horizon BCBS NJ reimbursement rates in Texas

Across 21 published rates from 81 providers, Horizon BCBS NJ pays a median of $29.41 per 15 min for 97153 (one-on-one ABA therapy by a technician) in Texas. That is 103% above Texas Medicaid's fee-for-service rate of $14.50.

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

Codes with a median
77
97153 median
$29.41per 15 min
Files
September 2026
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Headline rates

Horizon BCBS NJ vs Texas Medicaid

Horizon BCBS NJ's median rate for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Texas is $29.41 per 15 min, across 21 published rates from 81 providers. That is 17% above Texas Medicaid's fee-for-service rate of $25.10. Horizon BCBS NJ publishes Texas rates for 77 of the codes we track, across commercial, marketplace (aca) plans. Figures are from the September 2026 files.

CodeHorizon BCBS NJ medianPer hourTexas MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$29.41per 15 min$117.64$14.50103% above—2181 providers
97155ABA therapy led by the analyst (plan adjusted in session)$29.41per 15 min$117.64$25.1017% above—2181 providers
Horizon BCBS NJ median$29.41
Texas Medicaid$14.50
97153, per 15 min. September 2026 files.
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All 77 Horizon BCBS NJ codes with a median in Texas

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See all 77 Horizon BCBS NJ rates in Texas

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FAQ

Frequently asked questions

What does Horizon BCBS NJ pay for 97153 in Texas?

The median of Horizon BCBS NJ's published Texas rates for 97153 is $29.41 per 15 min ($117.64 per hour), from 21 rates and 81 providers in the September 2026 files.

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

Horizon BCBS NJ's median is 103% above the Medicaid fee-for-service rate of $14.50 per 15 min.

What does Horizon BCBS NJ pay for 97155 in Texas?

The median of Horizon BCBS NJ's published Texas rates for 97155 is $29.41 per 15 min ($117.64 per hour), from 21 rates and 81 providers in the September 2026 files.

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

Horizon BCBS NJ's median is 17% above the Medicaid fee-for-service rate of $25.10 per 15 min.

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

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