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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.

Facilitymedian $10 · 10th–90th $9$120%20%10th90th$10Professionalmedian $14 · 10th–90th $11$190%50%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$10.00
Typical High
$13.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.98
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.61
Typical High
$11.75