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Health And Behavior Re-Assessment

Virginia 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?

$36.31

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $29.51 to $46.77.

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

Professionalmedian $36 · 10th to 90th $21 to $95
$20$50$100professional $36

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$100.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$38.02

Where Virginia 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.

Virginia· 34th of 44

$36.31

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.