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Individual Behavior Change Counseling, First 30 Min

Florida 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?

$63.10

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$56.23 to $70.79
FacilityA hospital or hospital-owned outpatient department$70.79$51.29 to $178

How much rates vary

Facilitymedian $71 · 10th to 90th $49 to $178Professionalmedian $63 · 10th to 90th $51 to $87
$50$100$200facility $71professional $63

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
Facility
Modifier
Global
Typical Low
$52.48
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$114.82
AvMed
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$125.89
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$117.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$74.13

Where Florida 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.

Florida· 45th of 51

$63.10

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.