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Assessment Of Behavioral Factors In A Medical Condition

Maryland 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?

$87.10

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $75.86 to $97.72.

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

Professionalmedian $87 · 10th to 90th $72 to $98
$100professional $87

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
$75.86
Median
$85.11
Typical High
$87.10
CareFirst
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$72.44
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$89.13
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where Maryland 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.

Maryland· 39th of 51

$87.10

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.