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Group Behavior Therapy, Technician-Led

Kentucky 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?

$13.18

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $8.51 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 7 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$13.80$10.72 to $14.45
FacilityA hospital or hospital-owned outpatient department$8.51$7.08 to $8.51

How much rates vary

Facilitymedian $9 · 10th to 90th $3 to $9Professionalmedian $14 · 10th to 90th $5 to $15
$5$10$20facility $9professional $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
$2.75
Median
$2.75
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$12.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$20.89
Typical High
$20.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.25
Typical High
$10.00

Where Kentucky 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.

Kentucky· 47th of 51

$13.18

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.