go back

Massachusetts 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 $4 · 10th–90th $3$70%20%10th90th$4Professionalmedian $5 · 10th–90th $3$140%20%10th90th$5$2.0$10.0$50.0$200.0

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 / $3.80 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $19.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.25 / $10.96
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.37 / $6.03
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.94 / $13.80
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $39.81 / $46.77
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $15.49
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.57 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.13 / $12.59