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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 October 2026.

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

$102

Typical physician fee. In Alabama, October 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $70.79 to $132.

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 $170 · 10th to 90th $170 to $174Professionalmedian $98 · 10th to 90th $68 to $132
$100facility $170professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$114.82
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$173.78
Typical High
$173.78
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 52 · Reduced service
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$123.03
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$100.00

Where Alabama 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.

Alabama· 16th of 51

$102

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.