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Behavior Assessment For A Treatment Plan

Nevada rates for HCPCS 97151

This service involves a qualified professional's time spent assessing a patient's behavior, often in coordination with the patient's family or caregivers, to develop an individualized treatment plan. It includes both direct time with the patient and family, as well as time spent analyzing the information gathered and preparing recommendations.

Rates data updated July 2026.

How much does Behavior Assessment For A Treatment Plan cost?

$19.50

Typical physician fee. In Nevada, July 2026.

Insurers have agreed to pay about $19.50 for this service. Most negotiated rates run $19.05 to $21.88.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $19 · 10th to 90th $16 to $39
$0.5$2.0$10.0$50.0facility $50professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$87.10
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.30
Typical High
$30.20
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$89.13

Where Nevada sits

The same service costs 2.3 times more in Minnesota than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nevada $19.50 · 31st of 51
MN $43.65RI $19.05

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.