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Individual Behavior Change Counseling, First 30 Min

Maryland 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 $63 · 10th–90th $48$4470%10%10th90th$63Professionalmedian $65 · 10th–90th $52$1410%20%10th90th$65$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
$51.29
Median
$426.58
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$112.20