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Group Behavior Therapy, Technician-Led

Virginia 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.

Facilitymedian $14 · 10th–90th $5$190%20%10th90th$14Professionalmedian $14 · 10th–90th $8$180%50%10th90th$14$2.0$20.0$200.0$2.0K$20.0K

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
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$14.45
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$12.02
Typical High
$17.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$14.13
Typical High
$19.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$6.31
Typical High
$89,125.09
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.31
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.89
Typical High
$10.00