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Extra Time, Group Health Behavior Counseling

North Carolina 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 North Carolina, 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 $4.47 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 8 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 $5.62
FacilityA hospital or hospital-owned outpatient department$4.47$4.07 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $6Professionalmedian $5 · 10th to 90th $4 to $9
$5$10facility $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
$4.47
Typical High
$4.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.37
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.01
Typical High
$10.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$6.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.07
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.57
Typical High
$9.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$39.81

Where North Carolina 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.

North Carolina· 15th 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.