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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 July 2026.

Facilitymedian $14 · 10th–90th $5$180%50%10th90th$14Professionalmedian $14 · 10th–90th $7$170%50%10th90th$14$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.45
Typical High
$18.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.72
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$14.13
Typical High
$19.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$14.13
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.41
Typical High
$10.00