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Behavior Therapy Plan Adjustment by Provider

North Dakota 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 $16$240%50%10th90th$19Professionalmedian $23 · 10th–90th $16$430%20%10th90th$23$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
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$20.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$45.71
Typical High
$74.13