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Behavior Treatment By Protocol, One Patient

Wisconsin 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 rates vary

Facilitymedian $100 · 10th to 90th $85 to $174Professionalmedian $44 · 10th to 90th $35 to $45
$50$100facility $100professional $44

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$87.10