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Individual Behavior Change Counseling, First 30 Min

Illinois 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?

$67.61

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $66.07 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 7 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$67.61$60.26 to $89.13
FacilityA hospital or hospital-owned outpatient department$66.07$60.26 to $89.13

How much rates vary

Facilitymedian $66 · 10th to 90th $58 to $224Professionalmedian $68 · 10th to 90th $55 to $112
$50$100$200facility $66professional $68

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
$57.54
Median
$66.07
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$112.20
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
$70.79
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$251.19
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
$263.03
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$117.49

Where Illinois 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.

Illinois· 11th of 51

$67.61

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.