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Behavior Therapy Plan Adjustment by Provider

Colorado 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 $25 · 10th–90th $19$470%20%10th90th$25Professionalmedian $19 · 10th–90th $17$290%50%10th90th$19$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
$31.62
Median
$31.62
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$22.91
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$40.74
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$22.39
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$64.57