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Behavior Therapy Session With A Trained Technician

Iowa rates for HCPCS 97153

A trained behavior technician works one-on-one with a patient, following a structured plan designed by a supervising clinician, to teach skills and reduce challenging behaviors. This is billed in 15-minute increments and is commonly used as part of treatment for autism spectrum disorder and similar developmental needs.

Rates data updated July 2026.

How much does Behavior Therapy Session With A Trained Technician cost?

$15.14

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $19.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$15.14 to $19.05
FacilityA hospital or hospital-owned outpatient department$19.50$15.14 to $42.66

How much rates vary

Facilitymedian $19 · 10th to 90th $15 to $52Professionalmedian $15 · 10th to 90th $14 to $41
$10$20$50$100facility $19professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$39.81
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$51.29
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.14
Typical High
$41.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$48.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$48.98
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$18.20

Where Iowa sits

The same service costs 1.7 times more in North Carolina than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 27th of 51

$15.14

NC $24.55NM $14.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.