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Behavior Therapy Plan Adjustment by Provider

Washington 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 $30$910%20%10th90th$46Professionalmedian $19 · 10th–90th $18$330%20%40%10th90th$19$20.0$50.0$100.0$200.0$500.0

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
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$24.55
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$63.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.85
Typical High
$28.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$549.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$95.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$44.67
Typical High
$60.26