go back

Maine rates for HCPCS 96164

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

Facilitymedian $9 · 10th–90th $9–$100%20%40%90th$9Professionalmedian $10 · 10th–90th $8–$210%20%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. Small sample — interpret with caution. 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 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.47 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.77 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $27.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.72 / $21.38