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Extra Time, Group Health Behavior Counseling

West Virginia 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?

$4.17

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $4.37 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 4 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$4.17$3.98 to $4.57
FacilityA hospital or hospital-owned outpatient department$4.37$4.07 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $7Professionalmedian $4 · 10th to 90th $4 to $5
$5facility $4professional $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
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.17
Typical High
$4.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.01
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.47
Typical High
$7.08

Where West Virginia 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.

West Virginia· 45th of 51

$4.17

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.