go back

Individual Behavior Change Counseling, First 30 Min

Hawaii 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 October 2026.

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

$79.43

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $58.88 to $89.13.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $49 to $89
$50$100professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$66.07
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$75.86
Typical High
$87.10
HMSA
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$44.67
Median
$44.67
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$66.07
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$83.18
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$58.88
Typical High
$79.43

Where Hawaii sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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.

Hawaii· 8th of 51

$79.43

AK $138OK $46.77

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.