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Behavior Therapy Session With A Trained Technician

Illinois 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?

$16.22

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $15.14 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 7 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$16.22$15.14 to $23.44
FacilityA hospital or hospital-owned outpatient department$15.14$15.14 to $15.14

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $195Professionalmedian $16 · 10th to 90th $14 to $26
$20$50$100$200facility $15professional $16

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
$15.14
Median
$15.14
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$33.88
Typical High
$52.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$125.89
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$66.07

Where Illinois 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.

Illinois· 5th of 51

$16.22

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.