go back

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.

Facilitymedian $49 · 10th–90th $49$490%50%100%$49Professionalmedian $65 · 10th–90th $52$1350%20%10th90th$65$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$144.54