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Behavior Therapy Session With A Trained Technician

New Jersey rates for HCPCS 97153

A trained behavior technician works one-on-one with a patient, following a structured plan designed by a supervising clinician, to teach skills and reduce challenging behaviors. This is billed in 15-minute increments and is commonly used as part of treatment for autism spectrum disorder and similar developmental needs.

Rates data updated July 2026.

How much does Behavior Therapy Session With A Trained Technician cost?

$15.14

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $21.38 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$14.79 to $23.99
FacilityA hospital or hospital-owned outpatient department$21.38$15.14 to $21.38

How much rates vary

Facilitymedian $21 · 10th to 90th $15 to $263Professionalmedian $15 · 10th to 90th $14 to $32
$20$50$100$200$500facility $21professional $15

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.14
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$22.39
Typical High
$24.55
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$125.89
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.98
Typical High
$70.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$19.05
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$467.74
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$34.67
Typical High
$63.10

Where New Jersey sits

The same service costs 1.7 times more in North Carolina than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 32nd of 51

$15.14

NC $24.55NM $14.79

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.