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Health And Behavior Intervention, One-To-One

North Carolina 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?

$105

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $105 to $141.

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 $105 · 10th to 90th $71 to $141
$50$100facility $138professional $105

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
$32.36
Median
$40.74
Typical High
$75.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$34.67
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$141.25

Where North Carolina 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.

North Carolina· 7th of 44

$105

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.