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Individual Behavior Change Counseling, First 30 Min

Michigan 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 Michigan, 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 $75.86 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 8 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$58.88 to $75.86
FacilityA hospital or hospital-owned outpatient department$75.86$67.61 to $93.33

How much rates vary

Facilitymedian $76 · 10th to 90th $68 to $178Professionalmedian $66 · 10th to 90th $52 to $98
$50$100$200facility $76professional $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
$67.61
Median
$75.86
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$123.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$44.67
Typical High
$75.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$154.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$97.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$181.97
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$100.00

Where Michigan 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.

Michigan· 23rd 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.