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Health And Behavior Re-Assessment

North Carolina 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 July 2026.

How much does Health And Behavior Re-Assessment cost?

$112

Typical physician fee. In North Carolina, July 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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $138Professionalmedian $112 · 10th to 90th $76 to $2,951
$50$100$200$500$1K$2Kfacility $138professional $112

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
$34.67
Median
$43.65
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$36.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$2,951.21
Typical High
$2,951.21

Where North Carolina sits

The same service costs 154.9 times more in Massachusetts 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.

North Carolina· 5th of 44

$112

MA $2,951KY $19.05

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.