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Individual Behavior Change Counseling, First 30 Min

Missouri 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 Missouri, 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 $67.61 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$66.07$58.88 to $77.62
FacilityA hospital or hospital-owned outpatient department$67.61$60.26 to $85.11

How much rates vary

Facilitymedian $68 · 10th to 90th $56 to $132Professionalmedian $66 · 10th to 90th $52 to $112
$20.0$50.0$100.0$200.0facility $68professional $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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$69.18
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$123.03

Where Missouri 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.

Missouri $66.07 · 14th 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.