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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 July 2026.

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

$64.57

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $63.10 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 7 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$64.57$57.54 to $75.86
FacilityA hospital or hospital-owned outpatient department$63.10$56.23 to $89.13

How much rates vary

Facilitymedian $63 · 10th to 90th $50 to $129Professionalmedian $65 · 10th to 90th $52 to $93
$20.0$50.0$100.0$200.0$500.0facility $63professional $65

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
$56.23
Median
$63.10
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$134.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$562.34
Optum
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$123.03

Where Tennessee sits

The same service costs 1.5 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Tennessee $64.57 · 27th of 51
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.