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Family Health Behavior Session Without Patient Present

North Carolina 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?

$138

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $110 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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $138Professionalmedian $110 · 10th to 90th $110 to $141
$50.0$100.0facility $138professional $110

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
$37.15
Median
$46.77
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$35.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$141.25

Where North Carolina sits

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.

North Carolina $138 · 7th of 43
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.