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North Carolina 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 $4–$60%20%10th90th$4Professionalmedian $5 · 10th–90th $3–$100%20%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0$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
$3.98 / $3.98 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.13 / $10.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.07 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.57 / $8.51
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $39.81