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Group Behavior Therapy, Technician-Led

Montana 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 Montana, 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 $14.13 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 6 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 $15.49
FacilityA hospital or hospital-owned outpatient department$14.13$11.48 to $15.49

How much rates vary

Facilitymedian $14 · 10th to 90th $4 to $21Professionalmedian $14 · 10th to 90th $4 to $17
$5$10$20$50$100facility $14professional $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
Professional
Modifier
Global
Typical Low
$4.07
Median
$14.13
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.76
Typical High
$13.49
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$87.10
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$87.10
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$14.13
Typical High
$18.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$10.00

Where Montana 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.

Montana· 34th 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.