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Behavior Therapy Plan Adjustment by Provider

West Virginia 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 $41 · 10th–90th $15$2750%20%40%10th90th$41Professionalmedian $19 · 10th–90th $18$250%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
$14.79
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$158.49
Typical High
$158.49
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$53.70