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Individual Behavior Change Counseling, First 30 Min

Washington, DC rates for HCPCS 96158

This is a one-on-one counseling session with a trained clinician, such as a psychologist, focused on helping someone change habits that affect an existing physical health condition, such as improving diet, exercise, or medication routines for a condition like diabetes or heart disease. It covers the first 30 minutes of the session. It is aimed at supporting treatment of a diagnosed physical illness rather than treating a mental health condition on its own.

Rates data updated July 2026.

How much does Individual Behavior Change Counseling, First 30 Min cost?

$60.26

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $57.54 to $66.07.

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

Professionalmedian $60 · 10th to 90th $52 to $72
$50$100professional $60

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
$52.48
Median
$60.26
Typical High
$72.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$158.49

Where Washington, DC sits

The same service costs 1.5 times more in Minnesota than in Delaware. 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.

Washington, DC· 48th of 51

$60.26

MN $89.13DE $58.88

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.