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Behavior Therapy Plan Adjustment by Provider

Massachusetts 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 $23$710%20%40%10th90th$25Professionalmedian $25 · 10th–90th $19$660%20%10th90th$25$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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.50
Typical High
$25.12
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$53.70
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$50.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$60.26
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$77.62
Health New England
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$186.21
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$53.70
Typical High
$173.78
Tufts
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$91.20