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Behavior Therapy Plan Adjustment by Provider

Oklahoma 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$330%20%10th90th$19Professionalmedian $19 · 10th–90th $16$290%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
$15.85
Median
$19.50
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.91
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.05
Typical High
$32.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$63.10