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Assessment Of Behavioral Factors In A Medical Condition

Oklahoma 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?

$87.10

Typical physician fee. In Oklahoma, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $77.62 to $102.

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.

How much rates vary

Facilitymedian $91 · 10th to 90th $76 to $126Professionalmedian $87 · 10th to 90th $66 to $120
$100$200facility $91professional $87

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
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$162.18

Where Oklahoma 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.

Oklahoma· 50th of 51

$87.10

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.