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Massachusetts rates for HCPCS 97151

Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) administering assessments and discussing findings and recommendations, and non-face-to-face analyzing past data, scoring/interpreting the assessment, and preparing the report/treatment plan

Facilitymedian $31 · 10th–90th $25–$710%20%10th90th$31Professionalmedian $25 · 10th–90th $19–$810%20%10th90th$25$20.0$50.0$100.0$200.0$500.0

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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $42.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $229.09 / $229.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.90 / $83.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $67.61
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $79.43
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $123.03 / $371.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $229.09 / $229.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $257.04
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $64.57 / $104.71