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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.

Facilitymedian $66 · 10th–90th $54$1350%20%10th90th$66Professionalmedian $65 · 10th–90th $52$930%10%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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
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
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$104.71