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Assessment Of Behavioral Factors In A Medical Condition

New Hampshire 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?

$100

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $87.10 to $123.

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.

How much rates vary

Facilitymedian $93 · 10th to 90th $71 to $162Professionalmedian $100 · 10th to 90th $76 to $182
$100$200facility $93professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$239.88
Optum
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$251.19
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$93.33

Where New Hampshire 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.

New Hampshire· 8th of 51

$100

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.