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Health And Behavior Intervention, Group Session

Pennsylvania rates for HCPCS 96153

A group session in which several patients work together with a clinician on the habits and reactions that get in the way of managing a physical illness. The work is practical — following treatment, coping with symptoms, changing diet or activity — alongside others living with a similar condition.

Rates data updated July 2026.

How much does Health And Behavior Intervention, Group Session cost?

$6.46

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6.46 for this service. Most negotiated rates run $4.27 to $15.49.

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

Facilitymedian $4 · 10th to 90th $4 to $5Professionalmedian $9 · 10th to 90th $6 to $63
$5.0$10.0$20.0$50.0facility $4professional $9

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
$7.94
Median
$15.85
Typical High
$21.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.57
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.71
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.46
Typical High
$7.59

Where Pennsylvania sits

The same service costs 55.0 times more in Hawaii than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $6.46 · 41st of 44
HI $224NH $4.07

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.