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Assessment Of Behavioral Factors In A Medical Condition

Alabama 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 physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $85.11 to $112.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $182Professionalmedian $95 · 10th to 90th $78 to $132
$20.0$50.0$100.0$200.0$500.0facility $68professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$154.88

Where Alabama 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.

Alabama $95.50 · 28th 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.