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Illinois rates for HCPCS 96164

Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes

Facilitymedian $10 · 10th–90th $9–$480%20%40%10th90th$10Professionalmedian $10 · 10th–90th $8–$180%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

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
$8.91 / $8.91 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.18 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $100.00 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $17.38