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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.

Facilitymedian $52 · 10th–90th $47$1780%20%10th90th$52Professionalmedian $65 · 10th–90th $51$1450%20%10th90th$65$1.0$5.0$20.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$104.71
AvMed
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
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
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$109.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$74.13