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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.

Rates data updated July 2026.

How much does Individual Behavior Change Counseling, First 30 Min cost?

$89.13

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $72.44 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 6 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$91.20$66.07 to $162
FacilityA hospital or hospital-owned outpatient department$72.44$61.66 to $129

How much rates vary

Facilitymedian $72 · 10th to 90th $56 to $229Professionalmedian $91 · 10th to 90th $58 to $214
$50$100$200$500facility $72professional $91

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
$61.66
Median
$67.61
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$85.11
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
$141.25
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$263.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$239.88
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
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$204.17

Where Minnesota 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.

Minnesota· 1st of 51

$89.13

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.