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Tennessee 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–$90%20%10th90th$4Professionalmedian $4 · 10th–90th $3–$70%20%40%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0

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 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $9.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $39.81
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.07 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.90 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $7.94