go back

Group Behavior Therapy, Technician-Led

Illinois 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 October 2026.

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

$14.13

Typical negotiated rate. In Illinois, October 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 $53.70 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$7.76 to $14.13
FacilityA hospital or hospital-owned outpatient department$53.70$47.86 to $75.86

How much rates vary

Facilitymedian $54 · 10th to 90th $20 to $100Professionalmedian $14 · 10th to 90th $8 to $14
$2$5$10$20$50$100$200facility $54professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$19.95
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$85.11
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$9.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.17
Typical High
$13.49
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$28.18
Typical High
$43.65
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$5.89
Typical High
$10.00
United
Setting
Professional
Modifier
HM · Below bachelor's level
Typical Low
$9.33
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
HN · Bachelor's level
Typical Low
$10.47
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
HO · Master's level
Typical Low
$12.30
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
HP · Doctoral level
Typical Low
$12.30
Median
$13.80
Typical High
$13.80

Where Illinois sits

The same service costs 11.0 times more in Washington, DC than in Alabama. 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.

Illinois· 19th of 51

$14.13

DC $21.88AL $2.00

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.