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Assessment Of Behavioral Factors In A Medical Condition

Arkansas 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?

$93.33

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $72.44 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$93.33$85.11 to $107
FacilityA hospital or hospital-owned outpatient department$72.44$69.18 to $87.10

How much rates vary

Facilitymedian $72 · 10th to 90th $63 to $98Professionalmedian $93 · 10th to 90th $78 to $129
$100$200facility $72professional $93

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
$93.33
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$190.55

Where Arkansas sits

Rates are fairly even across states for this service. 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.

Arkansas· 40th of 51

$93.33

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.