go back

Tennessee rates for HCPCS 97157

Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guardians/caregivers, each 15 minutes

Facilitymedian $15 · 10th–90th $13–$1510%20%40%10th90th$15Professionalmedian $19 · 10th–90th $15–$240%20%40%10th90th$19$0.2$1.0$5.0$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $281.84 / $281.84
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $28.84 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $50.12 / $83.18