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Vermont 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 $23–$260%20%40%90th$23Professionalmedian $22 · 10th–90th $18–$280%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $33.11
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $43.65