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Health And Behavior Intervention With Family

Pennsylvania 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?

$28.84

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $19.05 to $52.48.

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 $19 · 10th to 90th $19 to $20Professionalmedian $35 · 10th to 90th $26 to $85
$20$50$100facility $19professional $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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$74.13
Typical High
$93.33
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$34.67
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$33.88

Where Pennsylvania 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.

Pennsylvania· 39th of 44

$28.84

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.