go back

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.

Rates data updated July 2026.

How much does Individual Behavior Change Counseling, First 30 Min cost?

$74.13

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $89.13 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 8 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$70.79$60.26 to $110
FacilityA hospital or hospital-owned outpatient department$89.13$69.18 to $135

How much rates vary

Facilitymedian $89 · 10th to 90th $59 to $135Professionalmedian $71 · 10th to 90th $54 to $158
$50$100$200facility $89professional $71

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
$35.48
Median
$141.25
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$154.88
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
$114.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$181.97
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
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$162.18

Where Oregon sits

The same service costs 1.5 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 2nd of 51

$74.13

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.