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Family Health Behavior Session Without Patient Present

Washington 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?

$110

Typical physician fee. In Washington, October 2026.

Insurers have agreed to pay about $110 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $43Professionalmedian $110 · 10th to 90th $110 to $141
$20$50$100facility $20professional $110

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
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$39.81
Typical High
$50.12
Molina
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$60.26
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$36.31
Typical High
$42.66

Where Washington 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.

Washington· 11th of 41

$110

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.