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Extra Time, Group Health Behavior Counseling

Illinois 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?

$4.57

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $4.37 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.57$4.07 to $5.75
FacilityA hospital or hospital-owned outpatient department$4.37$4.07 to $4.37

How much rates vary

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

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
$4.07
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.37
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.89
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.03
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.90
Typical High
$8.32
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.03
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.01
Typical High
$8.71

Where Illinois 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.

Illinois· 13th of 51

$4.57

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.