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Behavior Therapy Plan Adjustment by Provider

Utah 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 $16 · 10th–90th $16$160%50%$16Professionalmedian $20 · 10th–90th $16$310%20%10th90th$20$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
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$30.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.02
Typical High
$54.95