CPT code 97157: Family behavior guidance, multiple-family group2026 Medicare rate & RVUs in Arizona

CMS doesn’t publish a rate for 97157 in Arizona.

Check a contract rate as a % of Medicare · 97157 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 97157 covers

This service is face-to-face adaptive behavior guidance for caregivers from more than one family in a group. A physician or other qualified health care professional leads the session, helping caregivers address adaptive behavior goals. The patient is not present. The service is caregiver guidance, not direct adaptive behavior treatment delivered to patients by a technician.

CPT Category I code 97157 has physician fee schedule status C, or carrier priced. CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim. Each unit represents 15 minutes of face-to-face guidance. Use 97156 for guidance involving one family; use 97158 for group adaptive behavior treatment delivered to patients by a physician or other qualified health care professional.

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 Arizona compares for 97157

Every other payment area

97157 rates by state

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

See 97157 in every payment locality

How the 97157 rate is calculated

Each of 97157’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 97157

97157 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 97157

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

How 97157 has changed in Arizona

Price 97157 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

• Aguila
• Ajo
• Ak Chin
• Ak-Chin Village
• Alamo Lake
• Ali Chuk
• Ali Chukson
• Ali Molina

Browse all communities in Arizona

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