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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 July 2026.

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

$34.67

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $34.67 for this service. Most negotiated rates run $28.18 to $43.65.

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 $35 · 10th to 90th $19 to $87
$20$50$100professional $35

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$77.62
Typical High
$95.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$36.31

Where Virginia 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.

Virginia· 34th of 44

$34.67

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.