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Assessment Of Behavioral Factors In A Medical Condition

North Dakota 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?

$105

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $91.20 to $195.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $85 to $129Professionalmedian $105 · 10th to 90th $83 to $251
$100$200facility $98professional $105

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
$89.13
Median
$89.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$208.93

Where North Dakota sits

Rates are fairly even across states for this service. 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.

North Dakota· 2nd of 51

$105

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.