Health And Behavior Intervention, One-To-One

Virginia 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?

$33.88

Typical physician fee. In Virginia, October 2026.

Insurers have agreed to pay about $33.88 for this service. Most negotiated rates run $28.18 to $34.67.

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 $34 · 10th to 90th $19 to $36

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.99	Professional	None	$19.05	$19.05	$23.99
Cigna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $43.65	Professional	None	$32.36	$34.67	$43.65
Medcost Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $36.31	Professional	None	$28.18	$34.67	$36.31

Where Virginia 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.

Virginia· 29th of 43

$33.88

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.