Behavioral therapy services, 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC IOP, THERAPEUTIC BEHAVIORAL SERVICES, PER 15 MIN

Payers reporting HCPCS H2019

Payer pricing summary

Low

Average

$272

Median

$165

High

$1.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +14 other terms	98	$39	$43	$29	68%	—	$1 – $185
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	32	$66	$67	$43	64%	—	$11 – $213
3	Molina facility · case rate · outpatient · +12 other terms	30	$93	$144	$165	115%	—	$53 – $774
4	Aetna fee schedule · outpatient · +13 other terms	25	$16	$50	$56	113%	—	$1 – $176
5	UnitedHealthcare fee schedule · outpatient · +15 other terms	21	$32	$38	$35	90%	—	$1 – $176
6	Anthem facility · case rate · outpatient · +14 other terms	16	$88	$150	$170	114%	—	$51 – $774
7	Caresource fee schedule · outpatient · +6 other terms	16	$40	$37	$9	25%	—	$1 – $40
8	Optum facility · case rate · outpatient · +3 other terms	13	$78	$87	$19	22%	—	$73 – $132
9	Wellmark fee schedule · both · +4 other terms	13	$15	$15	—	—	—	$15 – $15
10	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$20	$28	$20	72%	—	$10 – $101
11	Bcbs Tx per diem · outpatient	11	$640	$655	$74	11%	—	$514 – $803
12	Highmark fee schedule · outpatient · +5 other terms	11	$12	$17	$34	203%	—	$12 – $323
13	Cigna professional · fee schedule · outpatient · +10 other terms	10	$12	$20	$17	86%	—	$12 – $58
14	Medica fee schedule · outpatient · +6 other terms	10	$23	$23	$6	25%	—	$14 – $29
15	Ucare fee schedule · both · +2 other terms	9	$14	$15	$16	111%	—	$6 – $46
16	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$14	$14	—	—	—	$14 – $14
17	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$86	$87	$3	3%	—	$86 – $94
18	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	7	$24	$54	$22	41%	—	$24 – $72
19	Tricare facility · fee schedule · outpatient	6	$46	$45	$3	7%	—	$39 – $47
20	Ambetter fee schedule · both · +2 other terms	4	$0	$0	—	—	—	$0 – $0
21	Oscar percent of total billed charges · bothfrom % of charges	4	$15	$15	—	—	—	$15 – $15
22	Phcs percent of total billed charges · bothfrom % of charges · +2 other terms	4	$22	$22	—	—	—	$22 – $22
23	First Health professional · fee schedule · both · +6 other terms	3	$15	$15	—	—	—	$15 – $15
24	Medicaid facility · fee schedule · outpatient · +4 other terms	3	$6	$6	—	—	—	$6 – $6
25	Excellus facility · case rate · outpatient · +1 other terms	2	$457	$457	$183	40%	—	$344 – $774

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