Family Health Behavior Session Without Patient Present

Nationwide rates for HCPCS 96155

A session with a patient's family members or caregivers to help them support the patient in managing a physical health problem — for example keeping to a treatment plan, changing eating habits, or coping with ongoing pain. The patient is not in the room for this session. The focus is on behavior and daily habits that affect a medical condition rather than on treating a mental illness.

Rates data updated July 2026.

How much does Family Health Behavior Session Without Patient Present cost?

$58.88

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $42.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 22 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$67.61	$39.81 to $110
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$42.66	$36.31 to $69.18

How much rates vary

Facilitymedian $43 · 10th to 90th $28 to $138Professionalmedian $68 · 10th to 90th $32 to $141

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Facility Modifier Global Typical Low $54.95 Median $69.18 Typical High $114.82	Facility	Global	$54.95	$69.18	$114.82
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $46.77 Typical High $89.13	Professional	Global	$37.15	$46.77	$89.13

What it costs in each state

The same service costs 1862.1 times more in Kentucky than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

KY $38,905HI $20.89

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.