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Minnesota 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 $9–$460%20%10th90th$19Professionalmedian $10 · 10th–90th $8–$190%20%10th90th$10$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
$19.05 / $19.05 / $173.78
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
$10.00 / $10.00 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $16.98
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $19.05 / $23.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $11.22 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.71 / $17.78