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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.

Rates data updated July 2026.

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

$14.13

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $14.79 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$14.13$13.18 to $14.79
FacilityA hospital or hospital-owned outpatient department$14.79$14.13 to $39.81

How much rates vary

Facilitymedian $15 · 10th to 90th $8 to $49Professionalmedian $14 · 10th to 90th $4 to $18
$5$10$20$50facility $15professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$14.13
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.72
Typical High
$15.14
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
$6.61
Typical High
$10.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$19.50
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
$5.13
Median
$8.51
Typical High
$13.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$18.20

Where Iowa 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.

Iowa· 19th 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.