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Behavior Therapy Plan Adjustment by Provider

South Carolina 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$310%20%40%10th90th$20Professionalmedian $19 · 10th–90th $18$260%50%10th90th$19$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
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$25.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.44
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.95
Typical High
$30.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$53.70