go back

Group Behavior Therapy, Technician-Led

South 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.

Facilitymedian $14 · 10th–90th $6$190%20%40%10th90th$14Professionalmedian $14 · 10th–90th $11$180%50%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.23
Typical High
$18.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$14.45
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.25
Typical High
$8.71