go back

Health And Behavior Intervention With Family

Illinois 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 October 2026.

How much does Health And Behavior Intervention With Family cost?

$57.54

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $42.66 to $95.50.

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 $81 · 10th to 90th $51 to $229Professionalmedian $35 · 10th to 90th $31 to $44
$50$100$200$500facility $81professional $35

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
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$77.62
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$34.67
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$28.18
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois sits

The same service costs 1412.5 times more in Kansas 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.

Illinois· 12th of 43

$57.54

KS $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.