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Nationwide rates for HCPCS 97152

Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 minutes

Facilitymedian $19 · 10th–90th $14$760%20%10th90th$19Professionalmedian $14 · 10th–90th $12$400%50%10th90th$14$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $20.89 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $35.48 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $24.55 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $85.11