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Texas rates for HCPCS 96164

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

Facilitymedian $10 · 10th–90th $8–$150%20%10th90th$10Professionalmedian $9 · 10th–90th $7–$130%20%40%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$6.03 / $7.08 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $12.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $63.10 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.13 / $11.75
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.33 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $16.60
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $87.10 / $87.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $14.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.91 / $12.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $15.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $14.13