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Group Behavior Therapy, Technician-Led

Washington 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 $12 · 10th–90th $6$270%20%10th90th$12Professionalmedian $14 · 10th–90th $10$180%50%10th90th$14$5.0$10.0$20.0$50.0$100.0$200.0

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
$11.75
Median
$14.45
Typical High
$18.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.23
Typical High
$15.49
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.08
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.31
Typical High
$10.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$22.91
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$19.50
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.91
Typical High
$14.45
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.25
Typical High
$7.59