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Individual Behavior Change Counseling, First 30 Min

Washington 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 $69 · 10th–90th $52$1290%10%10th90th$69Professionalmedian $68 · 10th–90th $52$1320%10%20%10th90th$68$20.0$50.0$100.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$131.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$162.18
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$134.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$147.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$120.23