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Group Behavior Therapy, Technician-Led

Washington, DC rates for HCPCS 97154

This is a structured therapy session where a trained technician works with more than one patient at the same time, guiding them through specific behavior-focused exercises following a plan set by a supervising clinician. It is commonly used as part of ongoing treatment for developmental or behavioral conditions such as autism, helping patients build skills like communication, social interaction, or self-regulation in a group setting. Sessions are tracked in 15-minute increments of technician time.

Rates data updated July 2026.

How much does Group Behavior Therapy, Technician-Led cost?

$14.13

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $14.13 for this service. Most negotiated rates run $14.13 to $15.49.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $19Professionalmedian $14 · 10th to 90th $13 to $18
$5$10$20facility $19professional $14

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$18.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$10.00
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.98
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$7.08
Typical High
$11.75

Where Washington, DC sits

The same service costs 2.1 times more in Massachusetts than in Minnesota. 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.

Washington, DC· 25th of 51

$14.13

MA $15.14MN $7.08

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.