go back

Behavior Treatment With Plan Adjustment

North Carolina rates for HCPCS 0368T

The qualified clinician works directly with the patient, delivering treatment and reshaping the behavior plan as the session goes along, based on how the patient responds. Unlike a session run to a fixed written plan, the clinician is solving problems and changing the approach in the moment. It covers the initial period of face-to-face time.

Rates data updated July 2026.

How much does Behavior Treatment With Plan Adjustment cost?

$60.26

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $60.26 to $60.26.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $60 · 10th to 90th $46 to $79
$50professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36

Where North Carolina sits

The same service costs 1862.1 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 3rd of 41

$60.26

KY $56,234SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.