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California 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 $25 · 10th–90th $11–$340%10%10th90th$25Professionalmedian $20 · 10th–90th $15–$720%20%10th90th$20$5.0$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.88 / $234.42
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $18.20 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $275.42
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $21.88 / $32.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $87.10