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Texas 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 $18$410%20%10th90th$23Professionalmedian $21 · 10th–90th $15$330%20%10th90th$21$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$100.00 / $186.21 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $19.05 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $26.92
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $38.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $20.42 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $38.90
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $30.90