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Individual Behavior Change Counseling, First 30 Min

Utah 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 $71 · 10th–90th $29$1350%20%10th90th$71Professionalmedian $65 · 10th–90th $54$1200%20%10th90th$65$10.0$20.0$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
$28.84
Median
$70.79
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$117.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$97.72