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Individual Behavior Change Counseling, First 30 Min

Kansas 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 Kansas, 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 $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 6 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$57.54 to $79.43
FacilityA hospital or hospital-owned outpatient department$66.07$57.54 to $79.43

How much rates vary

Facilitymedian $66 · 10th to 90th $54 to $135Professionalmedian $66 · 10th to 90th $52 to $93
$50$100facility $66professional $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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$114.82

Where Kansas 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.

Kansas· 19th 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.