ABA Medicaid Rates: Nevada

Nevada Medicaid — Provider Type 85 Applied Behavioral Analysis (ABA) Reimbursement Schedule; header states "Th

Effective rate data as of 2026-07 LAST CHECKED 2026-08

Code	Service	Rate	Unit
97151	Behavior identification assessment by professional — specialty 310, Licensed and Board Certified Behavior Analyst (BCBA) · Rate Type BH3, Rate Begin Date 03/10/2025, no modifier.	$29.14	15 min
97151	Behavior identification assessment by professional — specialty 311, Psychologist · Rate Type BH4, Rate Begin Date 03/10/2025, no modifier.	$17.54	15 min
97152	Behavior identification assessment by technician — specialties 310 (BCBA) and 311 (Psychologist) · Rate Type BH3, Rate Begin Date 03/10/2025, no modifier. Both specialties carry the same figure.	$35.09	15 min
97152	Behavior identification assessment by technician — specialty 312, BCaBA (modifier UD) · Rate Type BH1, Rate Begin Date 01/01/2022.	$21.05	15 min
97152	Behavior identification assessment by technician — specialty 314, RBT (modifier UD) · Rate Type BH2, Rate Begin Date 07/01/2023.	$15.60	15 min
97153	Adaptive behavior treatment by technician — specialties 310 (BCBA) and 311 (Psychologist) · Rate Type BH3, Rate Begin Date 03/10/2025, no modifier.	$30.10	15 min
97153	Adaptive behavior treatment by technician — specialty 312, BCaBA (modifier UD) · Rate Type BH1, Rate Begin Date 01/01/2022.	$18.06	15 min
97153	Adaptive behavior treatment by technician — specialty 314, RBT (modifier UD) · Rate Type BH2, Rate Begin Date 01/01/2022. This is the rate a Nevada RBT line actually pays.	$13.01	15 min
97154	Group adaptive behavior treatment by technician — specialty 310 (BCBA) and specialty 312 (BCaBA, no modifier) · 310: Rate Type BH3, begin 03/10/2025. 312 without UD: Rate Type BH1, begin 07/01/2023. Specialty 312 with modifier UD is $7.50 (BH1, 07/01/2023).	$7.60	15 min
97154	Group adaptive behavior treatment by technician — specialty 311 (Psychologist) and specialty 314 (RBT, no modifier) · 311: Rate Type BH4, begin 03/10/2025. 314 without UD: Rate Type BH2, begin 07/01/2023. Specialty 314 with modifier UD is $7.08 (BH2, 07/01/2023).	$7.14	15 min
97155	Adaptive behavior treatment by professional — specialties 310 (BCBA) and 311 (Psychologist) · Rate Type BH3, Rate Begin Date 03/10/2025, no modifier.	$30.10	15 min
97155	Adaptive behavior treatment by professional — specialty 314, RBT (modifier UD) · Rate Type BH2, Rate Begin Date 07/01/2023.	$20.50	15 min
97155	Adaptive behavior treatment by professional — specialty 312, BCaBA (modifier UD) · Rate Type BH1, Rate Begin Date 07/01/2023.	$19.92	15 min
97156	Adaptive behavior treatment with family — specialty 310, BCBA · Rate Type BH3, Rate Begin Date 03/10/2025.	$21.32	15 min
97156	Adaptive behavior treatment with family — specialty 311, Psychologist · Rate Type BH4, Rate Begin Date 03/10/2025.	$21.17	15 min
97157	Adaptive behavior treatment with multiple-family group — specialties 310 (BCBA) and 311 (Psychologist) · Rate Type BH3, Rate Begin Date 03/10/2025.	$11.70	15 min
97158	Adaptive behavior treatment with group — specialties 310 (BCBA) and 311 (Psychologist) · Rate Type BH3, Rate Begin Date 03/10/2025.	$14.28	15 min
0362T	Behavior identification supporting assessment — specialty 311, Psychologist · Rate Type BH4, Rate Begin Date 03/10/2025.	$35.09	15 min
0362T	Behavior identification supporting assessment — specialty 312, BCaBA (modifier UD) · Rate Type BH1, Rate Begin Date 07/01/2023. No row for specialty 310 or 314.	$31.50	15 min
0373T	Adaptive behavior treatment with protocol modification — specialty 310, BCBA · Rate Type BH3, Rate Begin Date 03/10/2025.	$25.74	15 min
0373T	Adaptive behavior treatment with protocol modification — specialty 312, BCaBA (modifier UD) · Rate Type BH1, Rate Begin Date 07/01/2023.	$20.50	15 min
0373T	Adaptive behavior treatment with protocol modification — specialty 314, RBT (modifier UD) · Rate Type BH2, Rate Begin Date 07/01/2023.	$20.21	15 min
0373T	Adaptive behavior treatment with protocol modification — specialty 311, Psychologist · Rate Type BH4, Rate Begin Date 03/10/2025.	$19.07	15 min

Read before using these numbers

One of the two previously cited URLs was wrong for rates. https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT85.pdf is the Provider Type 85 billing guide; it lists every ABA CPT code and the 15-minute unit but contains no dollar amount anywhere — a search of the extracted text for "$" returns zero hits. The guide itself says "Reimbursement rates for Applied Behavior Analysis (ABA) provider type 85 are listed online on the Nevada Medicaid website on the Rates webpage." The other cited URL, the fee-schedules index, is correct and links the file we read.
The 15-minute unit is stated inside each code's own printed description in the fee schedule ("EACH 15 MINUTES"), and separately confirmed by the PT 85 billing guide, which prints "15 minutes" in its own unit column for every ABA code.
Specialty numbers are decoded from Nevada Medicaid's own Provider Type 85 enrollment checklist page (https://www.medicaid.nv.gov/providers/checklist_pt85): 310 = Licensed and Board Certified Behavior Analyst (BCBA), 311 = Psychologist, 312 = Licensed and Board Certified Assistant Behavior Analyst (BCaBA), 314 = Registered Behavior Technician (RBT), 885 = ABA Entity/Agency/Group.
The PT 85 billing guide states that claims for services provided by a BCaBA or an RBT must include modifier UD, which matches the UD rows above.
The schedule prints no single effective date. The header says only "This schedule reflects rate data as of: 07/2026"; each row carries its own Rate Begin Date, ranging from 01/01/2022 to 03/10/2025.
Rate Type codes BH1-BH4 are printed in the file but are not defined in it. We do not assert what they mean.
Not every specialty is priced for every code — for example 97156, 97157 and 97158 have rows only for specialties 310 and 311, and 0362T has no row for 310 or 314.

Official sources

Nevada Medicaid — Provider Type 85 Applied Behavioral Analysis (ABA) Reimbursement Schedule; header states "This schedule reflects

Bill from the source, cite us for the map. If this page disagrees with the current official schedule, the schedule wins — and we want to know:

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