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Behavior Assessment For A Treatment Plan

Wisconsin rates for HCPCS 97151

This service involves a qualified professional's time spent assessing a patient's behavior, often in coordination with the patient's family or caregivers, to develop an individualized treatment plan. It includes both direct time with the patient and family, as well as time spent analyzing the information gathered and preparing recommendations.

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $19$560%20%40%10th90th$21Professionalmedian $22 · 10th–90th $19$1070%20%40%10th90th$22$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
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$19.50
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$46.77
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$81.28
Typical High
$125.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.50
Typical High
$44.67
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$20.89
Typical High
$44.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$34.67
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.50
Typical High
$44.67
Quartz
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$138.04
Quartz
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$229.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$204.17
Typical High
$257.04
Security Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Security Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$75.86
Typical High
$162.18