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Family Health Behavior Session Without Patient Present

Pennsylvania 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?

$22.91

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $22.91 for this service. Most negotiated rates run $22.91 to $46.77.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $23 · 10th to 90th $23 to $24Professionalmedian $55 · 10th to 90th $28 to $100
$50.0$100.0facility $23professional $55

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
$85.11
Typical High
$107.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$23.99
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$33.11

Where Pennsylvania 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.

Pennsylvania $22.91 · 42nd 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.