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Individual Behavior Change Counseling, First 30 Min

Delaware 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?

$58.88

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $52.48 to $67.61.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $63Professionalmedian $59 · 10th to 90th $51 to $78
$20.0$50.0$100.0$200.0$500.0facility $63professional $59

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
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$95.50
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$100.00

Where Delaware sits

The same service costs 1.5 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $58.88 · 51st of 51
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.