go back

Individual Behavior Change Counseling, First 30 Min

New Jersey 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?

$63.10

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 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$63.10$57.54 to $69.18
FacilityA hospital or hospital-owned outpatient department$72.44$66.07 to $174

How much rates vary

Facilitymedian $72 · 10th to 90th $60 to $407Professionalmedian $63 · 10th to 90th $51 to $81
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $72professional $63

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
$60.26
Median
$72.44
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$138.04
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$112.20
Typical High
$144.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$812.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$123.03

Where New Jersey 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.

New Jersey $63.10 · 41st 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.