go back

Group Behavior Therapy, Technician-Led

Vermont 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?

$17.78

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $17.78 for this service. Most negotiated rates run $11.75 to $17.78.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $18 · 10th to 90th $5 to $18
$5$10$20professional $18

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
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
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.78
Typical High
$18.20
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$10.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$7.08
Typical High
$15.49

Where Vermont 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.

Vermont· 4th of 51

$17.78

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.