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Group Behavior Therapy Session

Nebraska rates for HCPCS 97158

A structured behavior therapy session delivered to several people together rather than one-to-one, most often as part of care for autism and related conditions. Participants practice target skills and behaviors with each other while the therapist guides, prompts and reinforces. Time is counted in short blocks and added up for the session.

Facilitymedian $19 · 10th–90th $6$340%20%40%10th90th$19Professionalmedian $19 · 10th–90th $5$220%50%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
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.41
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$15.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$19.05
Typical High
$33.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$40.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.59
Typical High
$12.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.77
Typical High
$12.88