go back

Individual Behavior Change Counseling, First 30 Min

South Dakota 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 $66 · 10th–90th $55$1020%20%10th90th$66Professionalmedian $65 · 10th–90th $51$1480%10%20%10th90th$65$50.0$100.0$200.0

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
$58.88
Median
$58.88
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$131.83
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$416.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$134.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$107.15