go back

Texas rates for HCPCS 97129

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes

Facilitymedian $20 · 10th–90th $14–$320%10%10th90th$20Professionalmedian $18 · 10th–90th $13–$270%10%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $107.15 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $32.36 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.78 / $24.55
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.38 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $177.83 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $28.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $41.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.38 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.39 / $27.54