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Assessment Of Behavioral Factors In A Medical Condition

Mississippi 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?

$110

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $138 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$67.61 to $120
FacilityA hospital or hospital-owned outpatient department$138$138 to $138

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $178Professionalmedian $110 · 10th to 90th $68 to $170
$50$100$200facility $138professional $110

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
$97.72
Median
$109.65
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$123.03
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$95.50
Typical High
$123.03
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$186.21
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$107.15

Where Mississippi 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.

Mississippi· 12th of 51

$110

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.