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Behavior Therapy Session With A Trained Technician

Virginia 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 Virginia, 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 $16.60 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$14.45 to $17.78
FacilityA hospital or hospital-owned outpatient department$16.60$15.14 to $32.36

How much rates vary

Facilitymedian $17 · 10th to 90th $14 to $49Professionalmedian $15 · 10th to 90th $13 to $25
$10$100$1K$10K$100Kfacility $17professional $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
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$18.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$21.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.11
Typical High
$41.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$28.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$89,125.09
Sentara
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$69.18

Where Virginia 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.

Virginia· 31st 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.