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Health And Behavior Intervention, One-To-One

Wisconsin 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?

$66.07

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $44.67 to $97.72.

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 $65 · 10th to 90th $59 to $107Professionalmedian $66 · 10th to 90th $35 to $141
$50$100facility $65professional $66

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
Facility
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$87.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$138.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$141.25

Where Wisconsin 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.

Wisconsin· 14th of 44

$66.07

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.