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Behavior Therapy Session With A Trained Technician

North Carolina 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?

$24.55

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $15.49 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$26.30$15.14 to $33.88
FacilityA hospital or hospital-owned outpatient department$15.49$15.14 to $18.62

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $26Professionalmedian $26 · 10th to 90th $14 to $50
$10$20$50$100facility $15professional $26

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
$15.49
Median
$15.49
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$22.91
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$67.61
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$281.84

Where North Carolina 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.

North Carolina· 1st of 51

$24.55

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.