HCPCS H2017: Psychosocial Rehabilitation Services, 15 Minutes
Commercial payers pay $23 on average nationally for this procedure.
HCPCS Level II code H2017 describes psychosocial rehabilitation services provided in 15-minute units, a structured therapeutic service focused on skill-building, community integration, and functional recovery for individuals with serious mental health conditions; the service type is psychosocial rehabilitation and the typical site of service is outpatient behavioral health or community-based settings where clinicians deliver time-based therapeutic interventions to improve daily living and social functioning.
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National Reimbursement Benchmarks
Commercial reimbursement for HCPCS H2017 centers around BUCA’s average commercial rate of $23.5, with notable divergence among major national carriers. Cigna and UnitedHealth Group sit higher in central tendency — Cigna’s median is $32.2 and UnitedHealth Group’s median is $32.5 — while Aetna’s center is substantially lower at $7.0 and Blue Cross Blue Shield is more variable around its median of $14.3. These differences highlight a wide spread of payer strategies for this behavioral health service.
Examining dispersion (P75 minus P25) to gauge variability, Blue Cross Blue Shield shows the widest interquartile spread at $19.4 ($29.8 − $9.4), indicating heterogeneous contract levels. UnitedHealth Group follows with a spread of $36.0 ($52.0 − $14.4), which is actually the largest absolute IQR among listed payers; Cigna’s spread is $0.0 ($32.2 − $32.2), the tightest, and Aetna’s spread is $2.9 ($7.0 − $4.1), also relatively tight. BUCA’s quartiles ($13.9, $20.1, $30.2) position the average commercial market between the low Aetna and higher Cigna/UnitedHealth Group clusters.