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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 July 2026.

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

$95.50

Typical negotiated rate. In Missouri, July 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 $100 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 7 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$95.50$85.11 to $115
FacilityA hospital or hospital-owned outpatient department$100$87.10 to $123

How much rates vary

Facilitymedian $100 · 10th to 90th $74 to $186Professionalmedian $95 · 10th to 90th $76 to $182
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $100professional $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
$4.47
Median
$4.47
Typical High
$4.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$177.83

Where Missouri 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.

Missouri $95.50 · 31st 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.