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Group Behavior Therapy, Technician-Led

Michigan 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?

$15.85

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.50 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$12.88 to $19.50
FacilityA hospital or hospital-owned outpatient department$19.50$16.60 to $61.66

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $72Professionalmedian $16 · 10th to 90th $2 to $22
$2$5$10$20$50$100facility $19professional $16

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.34
Typical High
$2.34
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$19.50
Typical High
$22.39
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$17.38
Typical High
$22.39
CareSource
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
CareSource
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$15.85
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$67.61
Typical High
$74.13
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$25.12
Priority Health
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$15.85
United
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$50.12
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$5.62
Typical High
$6.31
United
Setting
Professional
Modifier
HM · Below bachelor's level
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
HN · Bachelor's level
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
HO · Master's level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
HP · Doctoral level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30

Where Michigan 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.

Michigan· 5th of 51

$15.85

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.