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Extra Time For Individual Health Behavior Coaching

Massachusetts rates for HCPCS 96159

A trained professional works one-on-one with a patient to address behaviors that affect a physical health condition, such as helping a patient manage diabetes, heart disease, or another medical issue through changes in habits and coping strategies. This covers each additional increment of time in that individual session, beyond the initial time period.

Facilitymedian $20 · 10th–90th $15$350%20%10th90th$20Professionalmedian $25 · 10th–90th $19$710%10%20%10th90th$25$10.0$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
$19.95
Median
$19.95
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$85.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.18
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.12
Typical High
$54.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$20.42
Typical High
$30.20
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$28.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$34.67
Typical High
$63.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$63.10