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97158 · New Mexico · every payer

What every payer pays for 97158 in New Mexico

Across 4 commercial payers in New Mexico, the middle payer's median for 97158 (group ABA therapy led by the analyst) is $9.00 per 15 min. New Mexico Medicaid's fee-for-service rate, $12.69 per 15 min, is 41% above that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$9.00per 15 min
New Mexico Medicaid
$12.69
TRICARE
$7.45
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Payer mix

97158 in New Mexico, by payer type

TRICARE pays $7.45 per 15 min.

New Mexico Medicaid$12.69
Commercial (4 payers)$9.00
TRICARE$7.45
UnitedHealthcare$8.00
Aetna$20.97
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97158 rate in New Mexico

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$8.00 per 15 min$32.0046
AetnaCommercial$20.97 per 15 min$83.8812
See every payer's 97158 rate in New Mexico

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97158 in New Mexico?

The median of 4 payers' medians is $9.00 per 15 min, from 74 published rates in the October 2026 files.

How does New Mexico Medicaid compare with commercial insurance for 97158?

New Mexico Medicaid pays $12.69 per 15 min, 41% above the commercial median.

What does UnitedHealthcare pay for 97158 in New Mexico?

UnitedHealthcare's median is $8.00 per 15 min, from 46 rates and 61 providers.

What does Aetna pay for 97158 in New Mexico?

Aetna's median is $20.97 per 15 min, from 12 rates and 29 providers.