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Behavior Therapy Plan Adjustment by Provider

Oregon 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 $46 · 10th–90th $19$460%50%10th$46Professionalmedian $19 · 10th–90th $18$280%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
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$47.86
Typical High
$91.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$81.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$93.33