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Health And Behavior Assessment, First Session

Pennsylvania rates for HCPCS 96150

An assessment of the psychological, behavioral and social factors affecting a physical illness — how someone copes with diabetes, chronic pain or heart disease, for example. It uses a focused interview, observation and structured questionnaires, and is aimed at managing a medical condition rather than treating a mental illness. This is the opening assessment, done before any treatment sessions.

Rates data updated July 2026.

How much does Health And Behavior Assessment, First Session cost?

$23.44

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23.44 for this service. Most negotiated rates run $21.38 to $52.48.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Facilitymedian $21 · 10th to 90th $21 to $22Professionalmedian $39 · 10th to 90th $21 to $95
$20.0$50.0$100.0facility $21professional $39

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$85.11
Typical High
$104.71
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.39
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$38.02
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$31.62

Where Pennsylvania sits

The same service costs 58884.4 times more in Missouri than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $23.44 · 40th of 44
MO $5,888NY $0.10

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.