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Washington 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 $36 · 10th–90th $21–$560%10%10th90th$36Professionalmedian $15 · 10th–90th $13–$740%20%40%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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.95 / $23.99
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $63.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $25.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $20.89
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $50.12 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $169.82