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Health And Behavior Assessment, First Session

Wisconsin 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?

$74.13

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $48.98 to $117.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $65 to $117Professionalmedian $74 · 10th to 90th $38 to $5,888
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $68professional $74

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
Facility
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$87.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$138.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$5,888.44
Typical High
$5,888.44

Where Wisconsin 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.

Wisconsin $74.13 · 14th 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.