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Arizona rates for HCPCS 97158

Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes

Facilitymedian $11 · 10th–90th $4–$300%10%10th90th$11Professionalmedian $19 · 10th–90th $5–$240%50%10th90th$19$5.0$10.0$20.0$50.0$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
$3.98 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $12.02 / $16.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $15.85 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.08 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.46 / $11.48