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Extra Time, Group Health Behavior Counseling

Connecticut rates for HCPCS 96165

Covers additional time in a group session where a health professional helps people change habits, thoughts and behaviors that affect a physical health problem, such as sticking with treatment, coping with pain or adjusting to a diagnosis. The focus is the physical condition rather than treatment of a mental illness. It is billed in addition to the first block of time.

Rates data updated July 2026.

How much does Extra Time, Group Health Behavior Counseling cost?

$4.37

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $4.37 for this service. Most negotiated rates run $3.98 to $5.25.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $11Professionalmedian $4 · 10th to 90th $3 to $7
$5$10$20facility $6professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.37
Typical High
$6.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.01
Typical High
$10.72
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$11.48
Health New England
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.90
Typical High
$10.47

Where Connecticut sits

The same service costs 1.5 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 35th of 51

$4.37

MN $6.31DE $4.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.