Family Health Behavior Session Without Patient Present

New York 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 October 2026.

How much rates vary

Professionalmedian $19 · 10th to 90th $19 to $21

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $19.50 Median $19.50 Typical High $21.38	Professional	GL · Free upgrade	$19.50	$19.50	$21.38