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Group Behavior Therapy, Technician-Led

New Mexico 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 October 2026.

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

$14.79

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $15.14 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.79$8.91 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.14$14.79 to $74.13

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $162Professionalmedian $15 · 10th to 90th $7 to $15
$5$10$20$50$100facility $15professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.14
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$10.00
Typical High
$15.14
Molina
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Providence
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$10.00
Typical High
$60.26
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$7.08
Typical High
$10.00
United
Setting
Professional
Modifier
HM · Below bachelor's level
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
HN · Bachelor's level
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
HO · Master's level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
HP · Doctoral level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30

Where New Mexico sits

The same service costs 11.0 times more in Washington, DC than in Alabama. 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 Mexico· 8th of 51

$14.79

DC $21.88AL $2.00

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.