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Individual Behavior Change Counseling, First 30 Min

Tennessee 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 October 2026.

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

$60.26

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $53.70 to $64.57.

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.

How much rates vary

Facilitymedian $56 · 10th to 90th $52 to $63Professionalmedian $60 · 10th to 90th $47 to $117
$50$100$200$500facility $56professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$56.23
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$63.10
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$95.50
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$60.26
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$57.54
Typical High
$109.65
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$602.56
Optum
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$89.13

Where Tennessee sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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.

Tennessee· 37th of 51

$60.26

AK $138OK $46.77

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.