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Behavior Therapy Plan Adjustment by Provider

Florida 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 $19 · 10th–90th $19$2880%50%90th$19Professionalmedian $19 · 10th–90th $18$290%50%10th90th$19$0.5$2.0$10.0$50.0$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
$19.05
Median
$19.05
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$25.12
AvMed
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$42.66
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$37.15
Typical High
$56.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$33.88