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Massachusetts rates for HCPCS 96164

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

Facilitymedian $9 · 10th–90th $7$160%20%10th90th$9Professionalmedian $10 · 10th–90th $8$280%10%10th90th$10$5.0$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
$7.94 / $8.51 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $24.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.59 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $24.55
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.12 / $13.80
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $13.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $18.62 / $28.84
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $20.89
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $72.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $32.36
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $29.51