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Individual Behavior Change Counseling, First 30 Min

Oregon 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 $91 · 10th–90th $59$1350%20%10th90th$91Professionalmedian $71 · 10th–90th $55$1510%20%10th90th$71$20.0$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$83.18
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$169.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$151.36