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Health And Behavior Intervention With Family

California rates for HCPCS 96154

A session in which the patient and their family work with a clinician on how the household can better support management of the patient's physical illness. It covers practical roles — help with medicines, meals, activity and coping — with the patient present and taking part in the discussion.

Rates data updated July 2026.

How much does Health And Behavior Intervention With Family cost?

$102

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $102 to $141.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $138Professionalmedian $102 · 10th to 90th $102 to $141
$50$100$200$500facility $138professional $102

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. 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
$31.62
Median
$56.23
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79

Where California sits

The same service costs 1412.5 times more in Missouri than in New York. 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.

California· 6th of 44

$102

MO $141NY $0.10

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.