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Individual Behavior Change Counseling, First 30 Min

New Mexico 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?

$60.26

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $69.18 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$60.26$52.48 to $67.61
FacilityA hospital or hospital-owned outpatient department$69.18$60.26 to $79.43

How much rates vary

Facilitymedian $69 · 10th to 90th $55 to $87Professionalmedian $60 · 10th to 90th $47 to $79
$50.0$100.0$200.0facility $69professional $60

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
$70.79
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$107.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$87.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$123.03

Where New Mexico 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 Mexico $60.26 · 50th 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.