search again

Behavior Therapy Plan Adjustment by Provider

Nationwide rates for HCPCS 97155

This service is a hands-on session where a qualified provider directly works with a patient, most often a child with autism, to observe how a behavior support plan is going and make adjustments in real time. It differs from sessions run by a trained technician because the treating provider is personally present and actively modifying the approach based on what they see.

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $19$540%20%10th90th$23Professionalmedian $19 · 10th–90th $18$350%50%10th90th$19$0.2$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
$16.22
Median
$21.88
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$72.44