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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 July 2026.

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

$95.50

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $105 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$81.28 to $123
FacilityA hospital or hospital-owned outpatient department$105$87.10 to $132

How much rates vary

Facilitymedian $105 · 10th to 90th $81 to $219Professionalmedian $95 · 10th to 90th $72 to $245
$50.0$100.0$200.0$500.0$1.0Kfacility $105professional $95

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$199.53
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$213.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$446.68
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$354.81
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$436.52

Where Alaska sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $95.50 · 29th of 51
MN $129DE $87.10

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.