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Individual Behavior Change Counseling, First 30 Min

Rhode Island 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 $525 · 10th–90th $178$5250%50%10th$525Professionalmedian $63 · 10th–90th $51$1050%20%10th90th$63$20.0$50.0$100.0$200.0$500.0

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
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$95.50