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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 July 2026.

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

$50.12

Typical physician fee. In Ohio, July 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $50 · 10th to 90th $36 to $85
$100.0$1.0K$10.0Kprofessional $50

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
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$85.11
Typical High
$107.15
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26

Where Ohio 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.

Ohio $50.12 · 23rd 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.