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Individual Behavior Change Counseling, First 30 Min

Minnesota 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 $76 · 10th–90th $58$2290%10%20%10th90th$76Professionalmedian $93 · 10th–90th $58$2190%10%10th90th$93$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
$61.66
Median
$70.79
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$263.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$199.53