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Assessment Of Behavioral Factors In A Medical Condition

Nebraska 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?

$93.33

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $91.20 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 8 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$93.33$83.18 to $112
FacilityA hospital or hospital-owned outpatient department$91.20$81.28 to $117

How much rates vary

Facilitymedian $91 · 10th to 90th $81 to $158Professionalmedian $93 · 10th to 90th $76 to $191
$100$200$500facility $91professional $93

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
$81.28
Median
$81.28
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$457.09
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$194.98
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$218.78

Where Nebraska 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.

Nebraska· 36th of 51

$93.33

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.