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Group Behavior Therapy, Technician-Led

Wisconsin 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 $4$190%20%40%10th90th$14Professionalmedian $14 · 10th–90th $5$180%20%40%10th90th$14$2.0$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
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$4.47
Typical High
$14.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.51
Typical High
$8.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$20.42
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$14.13
Typical High
$18.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$14.13
Typical High
$18.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.33
Typical High
$40.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.08
Typical High
$12.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$19.05
Typical High
$40.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.20
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.94
Typical High
$16.22