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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.

Facilitymedian $72 · 10th–90th $58$2240%20%10th90th$72Professionalmedian $71 · 10th–90th $55$1260%10%20%10th90th$71$20.0$50.0$100.0$200.0$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
$57.54
Median
$72.44
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$112.20
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
$70.79
Typical High
$125.89
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
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$478.63
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$112.20