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Tennessee rates for HCPCS 96158

Health behavior intervention, individual, face-to-face; initial 30 minutes

Facilitymedian $62 · 10th–90th $48–$1200%20%10th90th$62Professionalmedian $65 · 10th–90th $52–$1150%20%10th90th$65$1.0$5.0$20.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $61.66 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $72.44 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $131.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $562.34
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $60.26 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $63.10 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $114.82