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Behavior Therapy Plan Adjustment by Provider

Montana 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 $20 · 10th–90th $18$410%20%10th90th$20Professionalmedian $19 · 10th–90th $18$260%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
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$40.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$229.09
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$229.09
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$30.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$64.57