go back

North Carolina rates for HCPCS 96164

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

Facilitymedian $10 · 10th–90th $8–$140%20%10th90th$10Professionalmedian $10 · 10th–90th $8–$210%10%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $21.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.77 / $13.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.91 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $18.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $87.10 / $87.10