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Group Behavior Therapy, Technician-Led

Missouri 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?

$4.57

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $70.79 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.57$4.37 to $9.33
FacilityA hospital or hospital-owned outpatient department$70.79$14.13 to $79.43

How much rates vary

Facilitymedian $71 · 10th to 90th $14 to $117Professionalmedian $5 · 10th to 90th $4 to $14
$2$5$10$20$50$100facility $71professional $5

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
$3.39
Median
$14.13
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$14.13
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$4.57
Typical High
$5.13
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$10.00
Typical High
$14.13
Medica
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$70.79
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$40.74
Typical High
$40.74
Medica
Setting
Professional
Modifier
HM · Below bachelor's level
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Medica
Setting
Professional
Modifier
HN · Bachelor's level
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Medica
Setting
Professional
Modifier
HO · Master's level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Medica
Setting
Professional
Modifier
HP · Doctoral level
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$5.75
Typical High
$10.72
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 Missouri 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.

Missouri· 46th of 51

$4.57

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.