go back

Extra Time, Group Health Behavior Counseling

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $4.37 for this service. Most negotiated rates run $3.98 to $5.13.

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.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $9Professionalmedian $4 · 10th to 90th $4 to $7
$5$10$20facility $5professional $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
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.37
Typical High
$5.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.72
Typical High
$3.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.68
Typical High
$7.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.50
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.13
Typical High
$8.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.79
Typical High
$9.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.62
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.98
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$8.91

Where Missouri 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.

Missouri· 36th 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.