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Assessment Of Behavioral Factors In A Medical Condition

Alaska rates for HCPCS 96156

A trained clinician evaluates the psychological, behavioral, or social factors that may be affecting how a person is coping with or managing a physical health condition, such as chronic pain, diabetes, or heart disease. This is used when the focus is a physical illness, not a separate mental health diagnosis.

Rates data updated October 2026.

How much does Assessment Of Behavioral Factors In A Medical Condition cost?

$204

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $224 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$174 to $234
FacilityA hospital or hospital-owned outpatient department$224$191 to $224

How much rates vary

Facilitymedian $224 · 10th to 90th $182 to $316Professionalmedian $204 · 10th to 90th $93 to $398
$100$200facility $224professional $204

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$204.17
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$107.15
Typical High
$173.78
Moda Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$204.17
Typical High
$288.40
Moda Health
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$204.17
Typical High
$223.87
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$398.11
Providence
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$223.87
Typical High
$316.23
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$120.23
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$173.78
Typical High
$257.04

Where Alaska sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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.

Alaska· 1st of 51

$204

AK $204OK $67.61

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.