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Behavior Therapy Plan Adjustment by Provider

New Mexico rates for HCPCS 97155

This service is a hands-on session where a qualified provider directly works with a patient, most often a child with autism, to observe how a behavior support plan is going and make adjustments in real time. It differs from sessions run by a trained technician because the treating provider is personally present and actively modifying the approach based on what they see.

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $18$300%20%40%10th90th$19Professionalmedian $19 · 10th–90th $18$280%50%10th90th$19$20.0$50.0$100.0

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
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$30.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$70.79