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Group Behavior Therapy, Technician-Led

North Carolina 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?

$8.71

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $15.49 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 8 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$7.59$4.37 to $14.13
FacilityA hospital or hospital-owned outpatient department$15.49$14.13 to $17.38

How much rates vary

Facilitymedian $15 · 10th to 90th $10 to $19Professionalmedian $8 · 10th to 90th $4 to $15
$5$10$20$50$100facility $15professional $8

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
$15.49
Median
$15.49
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.45
Typical High
$18.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.37
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.88
Typical High
$18.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$19.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.62
Typical High
$10.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$79.43
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where North Carolina 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.

North Carolina· 50th of 51

$8.71

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.