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Behavior Therapy Session With A Trained Technician

South 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.

Facilitymedian $15 · 10th–90th $14$260%20%40%10th90th$15Professionalmedian $15 · 10th–90th $13$4680%50%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$15.49
Typical High
$26.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$53.70