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North Dakota 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 $18 · 10th–90th $15–$200%50%10th90th$18Professionalmedian $19 · 10th–90th $6–$200%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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $19.05 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.24 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $18.62 / $21.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $11.22 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.71 / $11.22