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Tennessee 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 $21 · 10th–90th $17–$440%20%10th90th$21Professionalmedian $22 · 10th–90th $18–$440%20%10th90th$22$0.2$1.0$5.0$20.0$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
$19.05 / $20.89 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $32.36 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.70 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $190.55
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $40.74