search again

Nationwide rates for HCPCS 97156

Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes

Facilitymedian $23 · 10th–90th $15$600%10%20%10th90th$23Professionalmedian $19 · 10th–90th $17$410%20%40%10th90th$19$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $33.88 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $74.13