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Group Behavior Therapy, Technician-Led

Iowa 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 $15 · 10th–90th $9$490%20%10th90th$15Professionalmedian $14 · 10th–90th $8$180%50%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.72
Typical High
$17.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.98
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$14.13
Typical High
$19.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.77
Typical High
$40.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$19.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$19.50
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$13.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$18.20