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Individual Behavior Change Counseling, First 30 Min

Kentucky 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?

$61.66

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $58.88 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$63.10$54.95 to $69.18
FacilityA hospital or hospital-owned outpatient department$58.88$50.12 to $83.18

How much rates vary

Facilitymedian $59 · 10th to 90th $44 to $105Professionalmedian $63 · 10th to 90th $48 to $89
$50.0$100.0$200.0$500.0facility $59professional $63

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
$93.33
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$120.23

Where Kentucky sits

The same service costs 1.5 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $61.66 · 47th of 51
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.