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Preheat grill to medium.
Place meat, rice, cheese, 1 tablespoon barbecue sauce, paprika, mustard, garlic, pepper and salt in a large bowl. Gently combine, without overmixing, until evenly incorporated. Form into 4 equal patties, 1/2 to 3/4 inch thick.
Combine the remaining 1 tablespoon barbecue sauce, mayonnaise, relish and horseradish in a small bowl.
Oil the grill rack. Grill the burgers until an instant-read thermometer inserted in the center registers 155°F, 5 to 6 minutes per side.
Assemble the burgers on buns with the barbecue mayonnaise sauce, tomato and onion.