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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.

Rates data updated July 2026.

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

$66.07

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $83.18 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$66.07$58.88 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$66.07 to $120

How much rates vary

Facilitymedian $83 · 10th to 90th $58 to $240Professionalmedian $66 · 10th to 90th $56 to $148
$50$100$200facility $83professional $66

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
$81.28
Median
$239.88
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$123.03
Typical High
$229.09
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
$117.49
Median
$147.91
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$162.18
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
$89.13
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$117.49

Where Iowa 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.

Iowa· 18th of 51

$66.07

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.