Behavior assessment by a clinician, billed per 15 minutes

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Behavior ID Assessment by Phys/Qhp Ea 15 Min

Payers reporting CPT 97151

Payer pricing summary

Low

$22

Average

$181

Median

$107

High

$2.5k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +24 other terms	324	$104	$191	$595	311%	—	$18 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	263	$99	$124	$144	116%	—	$1 – $2.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	222	$101	$262	$784	299%	—	$0 – $14.4k
4	Humana fee schedule · outpatient · +20 other terms	215	$98	$103	$25	25%	—	$19 – $207
5	Cigna fee schedule · outpatient · +18 other terms	115	$102	$146	$97	66%	—	$87 – $526
6	WellCare fee schedule · outpatient · +9 other terms	107	$97	$112	$36	33%	—	$19 – $217
7	Molina fee schedule · outpatient · +19 other terms	99	$97	$113	$57	50%	—	$19 – $235
8	Anthem fee schedule · outpatient · +16 other terms	87	$93	$90	$139	154%	—	$21 – $743
9	Kaiser fee schedule · outpatient · +10 other terms	59	$147	$185	$106	58%	—	$91 – $597
10	Devoted fee schedule · outpatient · +5 other terms	55	$97	$98	$5	5%	—	$90 – $113
11	Ambetter facility · fee schedule · outpatient · +12 other terms	47	$173	$307	$902	294%	—	$86 – $7.1k
12	Optum fee schedule · outpatient · +10 other terms	33	$102	$137	$73	53%	—	$85 – $375
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$105	$99	$34	35%	—	$32 – $184
14	Clover fee schedule · outpatient · +5 other terms	26	$101	$102	$6	6%	—	$92 – $114
15	Caresource facility · case rate · outpatient · +7 other terms	23	$164	$164	$48	29%	—	$79 – $285
16	Medicare fee schedule · outpatient · +1 other terms	21	$102	$101	$6	6%	—	$74 – $113
17	Regence facility · fee schedule · outpatient · +5 other terms	21	$107	$140	$67	47%	—	$86 – $301
18	Oscar facility · fee schedule · outpatient · +12 other terms	17	$143	$139	$15	11%	—	$106 – $153
19	Highmark fee schedule · outpatient · +10 other terms	16	$88	$87	$59	68%	—	$19 – $298
20	Medical Mutual facility · fee schedule · outpatient · +4 other terms	16	$97	$413	$1.3k	309%	—	$52 – $6.0k
21	MultiPlan fee schedule · outpatient · +11 other terms	15	$143	$141	$10	7%	—	$87 – $143
22	Amerihealth Caritas fee schedule · both · +6 other terms	13	$19	$30	$29	95%	—	$19 – $108
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$55	$80	$62	77%	—	$22 – $315
24	Bcbs Nj fee schedule · outpatient · +1 other terms	13	$64	$144	$148	103%	—	$25 – $447
25	Wellmark fee schedule · both · +5 other terms	13	$38	$37	$4	12%	—	$11 – $38

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