go back

Assessment Of Behavioral Factors In A Medical Condition

Connecticut 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 Connecticut, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $85.11 to $115.

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.

How much rates vary

Facilitymedian $135 · 10th to 90th $72 to $234Professionalmedian $95 · 10th to 90th $76 to $174
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $135professional $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
$72.44
Median
$134.90
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$229.09
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$234.42

Where Connecticut 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.

Connecticut $95.50 · 17th 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.