go back

Group Behavior Therapy, Technician-Led

New Jersey rates for HCPCS 97154

This is a structured therapy session where a trained technician works with more than one patient at the same time, guiding them through specific behavior-focused exercises following a plan set by a supervising clinician. It is commonly used as part of ongoing treatment for developmental or behavioral conditions such as autism, helping patients build skills like communication, social interaction, or self-regulation in a group setting. Sessions are tracked in 15-minute increments of technician time.

Rates data updated July 2026.

How much does Group Behavior Therapy, Technician-Led cost?

$14.13

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 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 6 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$14.13$7.08 to $14.79
FacilityA hospital or hospital-owned outpatient department$21.38$14.13 to $21.38

How much rates vary

Facilitymedian $21 · 10th to 90th $14 to $107Professionalmedian $14 · 10th to 90th $4 to $18
$5$10$20$50$100$200facility $21professional $14

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
$14.13
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.20
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$12.30
Typical High
$18.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.90
Typical High
$10.23

Where New Jersey sits

The same service costs 2.1 times more in Massachusetts than in Minnesota. 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· 33rd of 51

$14.13

MA $15.14MN $7.08

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.