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Health And Behavior Intervention With Family

Wisconsin 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?

$64.57

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $43.65 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $65 · 10th to 90th $59 to $105Professionalmedian $65 · 10th to 90th $34 to $141
$50$100facility $65professional $65

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
$51.29
Median
$60.26
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
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
$67.61
Median
$141.25
Typical High
$141.25

Where Wisconsin 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.

Wisconsin· 13th of 44

$64.57

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.