go back

Idaho 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 $19 · 10th–90th $7–$250%20%40%10th90th$19Professionalmedian $19 · 10th–90th $13–$240%20%40%10th90th$19$5.0$10.0$20.0$50.0

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 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.02 / $13.49
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $19.05 / $24.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $11.22