go back

South Dakota rates for HCPCS 96159

Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Facilitymedian $23 · 10th–90th $19–$360%20%10th90th$23Professionalmedian $22 · 10th–90th $17–$520%20%10th90th$22$10.0$20.0$50.0$100.0

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
$19.95 / $19.95 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $44.67 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $38.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.20 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $46.77 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $47.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.38 / $46.77
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $36.31