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Extra Time, Group Health Behavior Counseling

Hawaii 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 Hawaii, July 2026.

Insurers have agreed to pay about $4.37 for this service. Most negotiated rates run $3.89 to $4.79.

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 $66 · 10th to 90th $66 to $66Professionalmedian $4 · 10th to 90th $3 to $6
$5$10$20$50facility $66professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.47
Typical High
$7.59
HMSA
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$7.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.50
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.68
Typical High
$8.51
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.98
Typical High
$5.01

Where Hawaii 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.

Hawaii· 32nd 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.