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Health And Behavior Intervention, One-To-One

Illinois rates for HCPCS 96152

A one-to-one session working on the behaviors, habits and reactions that get in the way of managing a physical illness — sticking with treatment, coping with pain, changing what you eat or how much you move. The focus is squarely on the medical condition rather than on treating a mental health diagnosis.

Rates data updated October 2026.

How much does Health And Behavior Intervention, One-To-One cost?

$57.54

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $43.65 to $100.

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 $81 · 10th to 90th $51 to $240Professionalmedian $35 · 10th to 90th $32 to $44
$50$100$200$500facility $81professional $35

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

Rates by insurance carrier

Insurance Carrier
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$77.62
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$34.67
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$28.18
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois sits

The same service costs 7.8 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.

Illinois· 12th of 43

$57.54

MA $141KY $18.20

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.