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Health And Behavior Intervention, One-To-One

Kentucky 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 July 2026.

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

$22.91

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $22.91 for this service. Most negotiated rates run $19.05 to $40.74.

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

Facilitymedian $38,905 · 10th to 90th $38,905 to $38,905Professionalmedian $23 · 10th to 90th $18 to $48,978
$100$1K$10Kfacility $38,905professional $23

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$48,977.88
Typical High
$51,286.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$24.55

Where Kentucky sits

The same service costs 7.4 times more in Missouri than in New Hampshire. 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.

Kentucky· 41st of 44

$22.91

MO $141NH $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.