go back

Texas 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$70%20%40%10th90th$4Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.37 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.80 / $5.01
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.07 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $7.76
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $6.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.17 / $6.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $6.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.31 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.01 / $6.17