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Behavior Treatment By Protocol, One Patient

Ohio rates for HCPCS 0364T

A trained technician works one to one with the patient, delivering a behavior treatment plan exactly as written by the supervising clinician — practicing skills, prompting and reinforcing progress. This covers the initial period of face-to-face time in the session.

Rates data updated July 2026.

How much does Behavior Treatment By Protocol, One Patient cost?

$50.12

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $44.67 to $50.12.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $41,687 to $63,096Professionalmedian $50 · 10th to 90th $37 to $60
$100$1K$10Kfacility $41,687professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$75,857.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26

Where Ohio sits

The same service costs 1862.1 times more in Kentucky than in South Carolina. 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.

Ohio· 4th of 41

$50.12

KY $56,234SC $30.20

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.