search again

Nationwide rates for HCPCS 96165

Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Facilitymedian $5 · 10th–90th $4$90%20%10th90th$5Professionalmedian $4 · 10th–90th $3$100%20%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K$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
$3.02 / $5.01 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.79 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.57 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.24 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.57 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.68 / $9.77