CPT code 97154: Group behavior treatment, technician, per 15 minutes2026 Medicare rate & RVUs in Alabama

CMS doesn’t publish a rate for 97154 in Alabama.

Check a contract rate as a % of Medicare · 97154 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 97154 covers

This code describes protocol-based adaptive behavior treatment delivered face-to-face by a technician to two or more patients in a group. The technician provides the service under the direction of a physician or other qualified health care professional. The code distinguishes group treatment from technician-delivered treatment for one patient and from group treatment delivered by a physician or qualified health care professional with protocol modification.

For Medicare physician fee schedule purposes, status C means CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim. Each unit represents 15 minutes of the qualifying group service. Documentation should identify the group service, the technician’s role, and the time spent.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Alabama compares for 97154

Every other payment area

97154 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 97154 in every payment locality

How the 97154 rate is calculated

Each of 97154’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 97154

97154 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 97154

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 97154 has changed in Alabama

Price 97154 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates