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Individual Behavior Change Counseling, First 30 Min

New Hampshire 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 $89 · 10th–90th $48$1120%20%10th90th$89Professionalmedian $68 · 10th–90th $52$1320%10%20%10th90th$68$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$69.18
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$151.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$162.18
Optum
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$165.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$63.10