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Health And Behavior Intervention, One-To-One

Ohio 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?

$50.12

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $50.12 to $50.12.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $30Professionalmedian $50 · 10th to 90th $50 to $60
$20$50facility $30professional $50

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
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$34.67
Typical High
$43.65
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$36.31
Typical High
$36.31
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$60.26

Where Ohio 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.

Ohio· 14th of 43

$50.12

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.