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Family Health Behavior Session Without Patient Present

Ohio 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 does Family Health Behavior Session Without Patient Present cost?

$50.12

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $50.12 to $50.12.

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

Professionalmedian $50 · 10th to 90th $50 to $60
$50professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$31.62
Typical High
$46.77
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$36.31
Typical High
$36.31
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$60.26

Where Ohio sits

The same service costs 6.8 times more in Massachusetts than in Hawaii. 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.

Ohio· 14th of 41

$50.12

MA $141HI $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.