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Behavior Therapy Plan Adjustment by Provider

Idaho 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 $15$320%20%10th90th$19Professionalmedian $19 · 10th–90th $15$280%50%10th90th$19$20.0$50.0$100.0

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$50.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$30.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$64.57