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Assessment Of Behavioral Factors In A Medical Condition

Missouri 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?

$95.50

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $117 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$87.10 to $105
FacilityA hospital or hospital-owned outpatient department$117$100 to $407

How much rates vary

Facilitymedian $117 · 10th to 90th $87 to $407Professionalmedian $95 · 10th to 90th $71 to $148
$100$200$500$1Kfacility $117professional $95

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
Facility
Modifier
None
Typical Low
$87.10
Median
$100.00
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$100.00
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$95.50
Typical High
$112.20
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$114.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$87.10
Typical High
$162.18
Medica
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$117.49
Typical High
$407.38
Medica
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$91.20
Typical High
$616.60
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$70.79
Typical High
$120.23

Where Missouri 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.

Missouri· 24th of 51

$95.50

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.