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Individual Behavior Change Counseling, First 30 Min

Iowa 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 $81 · 10th–90th $56$1480%10%10th90th$81Professionalmedian $65 · 10th–90th $55$1510%20%10th90th$65$50.0$100.0$200.0

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
$81.28
Median
$81.28
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$117.49
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$104.71
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$158.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$102.33