Horizon BCBS NJ reimbursement rates in Washington
For 97153 (one-on-one ABA therapy by a technician), the median of Horizon BCBS NJ's published Washington rates is $30.17 per 15 min (14 rates, 25 providers). That is 143% above Washington Medicaid's fee-for-service rate of $12.40.
- Codes with a median
- 75
- 97153 median
- $30.17per 15 min
- Files
- September 2026
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Horizon BCBS NJ vs Washington Medicaid
Across 14 published rates from 25 providers, Horizon BCBS NJ pays a median of $30.17 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in Washington. That is 114% above Washington Medicaid's fee-for-service rate of $14.09. Horizon BCBS NJ publishes Washington 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 | Washington Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $30.17per 15 min | $120.68 | $12.40143% above | — | 1425 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $30.17per 15 min | $120.68 | $14.09114% above | — | 1425 providers |
All 75 Horizon BCBS NJ codes with a median in Washington
Frequently asked questions
What does Horizon BCBS NJ pay for 97153 in Washington?
The median of Horizon BCBS NJ's published Washington rates for 97153 is $30.17 per 15 min ($120.68 per hour), from 14 rates and 25 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Washington Medicaid for 97153?
Horizon BCBS NJ's median is 143% above the Medicaid fee-for-service rate of $12.40 per 15 min.
What does Horizon BCBS NJ pay for 97155 in Washington?
The median of Horizon BCBS NJ's published Washington rates for 97155 is $30.17 per 15 min ($120.68 per hour), from 14 rates and 25 providers in the September 2026 files.
Does Horizon BCBS NJ pay more than Washington Medicaid for 97155?
Horizon BCBS NJ's median is 114% above the Medicaid fee-for-service rate of $14.09 per 15 min.
How many codes does Horizon BCBS NJ publish rates for in Washington?
75 of the behavioral health, ABA, therapy, home health and other codes we track have a Horizon BCBS NJ median in Washington. The full list, with ranges and modifier tiers, is in the workspace.