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Nationwide rates for HCPCS 97153

Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes

Facilitymedian $19 · 10th–90th $14$850%20%10th90th$19Professionalmedian $15 · 10th–90th $13$740%20%40%10th90th$15$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
$14.13 / $42.66 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $14.79 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $20.42 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $69.18