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Behavior Therapy Plan Adjustment by Provider

Texas 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 $21 · 10th–90th $18$400%20%10th90th$21Professionalmedian $19 · 10th–90th $19$260%20%40%10th90th$19$10.0$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
$19.50
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$25.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$44.67
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$30.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$39.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$173.78
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$34.67
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$40.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.02
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.11
Typical High
$46.77