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Texas 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 $17 · 10th–90th $14–$430%20%10th90th$17Professionalmedian $14 · 10th–90th $13–$280%20%40%10th90th$14$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $107.15 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $44.67 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $25.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $38.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $173.78 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $19.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $15.85 / $31.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.49 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $34.67 / $41.69