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Health And Behavior Re-Assessment

California rates for HCPCS 96151

A repeat assessment of the psychological, behavioral and social factors affecting a physical illness, carried out after an earlier assessment to see what has shifted. The clinician reviews progress, re-checks the behaviors previously identified as barriers, and updates the plan for managing the condition.

Rates data updated October 2026.

How much does Health And Behavior Re-Assessment cost?

$112

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $112 to $2,951.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $112 · 10th to 90th $112 to $2,951
$200$500$1K$2Kprofessional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$26.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$37.15
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$2,951.21
Typical High
$2,951.21
Optum
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79

Where California sits

The same service costs 195.0 times more in Tennessee than in Kentucky. 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.

California· 10th of 43

$112

TN $2,951KY $15.14

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.