go back

Texas 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 $20 · 10th–90th $16–$500%20%10th90th$20Professionalmedian $19 · 10th–90th $15–$240%20%40%10th90th$19$5.0$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $107.15 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.37 / $5.37
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $19.95 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $34.67
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.91 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.23 / $12.30