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Group Behavior Therapy Session

Washington 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.

Rates data updated October 2026.

How much does Group Behavior Therapy Session cost?

$13.18

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $100 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.18$12.88 to $39.81
FacilityA hospital or hospital-owned outpatient department$100$64.57 to $145

How much rates vary

Facilitymedian $100 · 10th to 90th $10 to $174Professionalmedian $13 · 10th to 90th $12 to $40
$5$10$20$50$100$200facility $100professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$19.05
Typical High
$19.05
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$83.18
Typical High
$165.96
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$12.02
Typical High
$15.14
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.31
Typical High
$13.18
Molina
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$11.22
Typical High
$15.49
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$10.47
Typical High
$10.72
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$85.11
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$144.54
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$8.32
Typical High
$16.60
United
Setting
Professional
Modifier
HN · Bachelor's level
Typical Low
$9.77
Median
$9.77
Typical High
$10.96
United
Setting
Professional
Modifier
HO · Master's level
Typical Low
$11.48
Median
$11.48
Typical High
$12.88
United
Setting
Professional
Modifier
HP · Doctoral level
Typical Low
$11.48
Median
$11.48
Typical High
$12.88
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$6.31
Typical High
$6.31

Where Washington sits

The same service costs 12.9 times more in Maryland than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 28th of 51

$13.18

MD $29.51AL $2.29

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.