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Behavior Therapy Plan Adjustment by Provider

Minnesota 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 $24 · 10th–90th $19$1350%20%10th90th$24Professionalmedian $21 · 10th–90th $17$320%20%10th90th$21$10.0$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
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.99
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$47.86
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$112.20
Typical High
$229.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$66.07
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$112.20