go back

Assessment Of Behavioral Factors In A Medical Condition

Nevada 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?

$89.13

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $79.43 to $100.

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 $100 · 10th to 90th $89 to $107Professionalmedian $89 · 10th to 90th $71 to $107
$100$200$500$1K$2Kfacility $100professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$89.13
Median
$95.50
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$95.50
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$81.28
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$77.62
Typical High
$125.89
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$100.00
Typical High
$128.82
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
Select Health
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$107.15
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$87.10
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$104.71

Where Nevada 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.

Nevada· 33rd of 51

$89.13

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.