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Individual Behavior Change Counseling, First 30 Min

Virginia 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 Virginia, 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 $67.61 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 8 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 $70.79
FacilityA hospital or hospital-owned outpatient department$67.61$60.26 to $81.28

How much rates vary

Facilitymedian $68 · 10th to 90th $54 to $110Professionalmedian $65 · 10th to 90th $52 to $83
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $68professional $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
$52.48
Median
$64.57
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$120.23
Sentara
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$123.03

Where Virginia 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.

Virginia $64.57 · 28th 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.