Brief emotional or behavioral screening questionnaire

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Assessment Emotional/Behavioral per Instrument Brief

Payers reporting CPT 96127

Payer pricing summary

Low

Average

$50

Median

$42

High

$197

Payer rate distribution

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#
1	Wellmark professional · fee schedule · both · +24 other terms	18	$7	$7	$2	27%	1,202–1,274	$4 – $10
2	Anthem fee schedule · outpatient · +33 other terms	99	$37	$32	$48	149%	439–457	$3 – $273
3	Premera professional · fee schedule · both · +13 other terms	16	$8	$8	$1	18%	64–163	$5 – $10
4	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	310	$59	$75	$56	74%	20	$0 – $294
5	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$90	$90	—	—	20	$90 – $90
6	Molina fee schedule · outpatient · +30 other terms	132	$40	$41	$25	61%	15	$3 – $153
7	Carefirst professional · fee schedule · both · +11 other terms	18	$7	$7	$2	30%	13–130	$3 – $11
8	Excellus professional · fee schedule · both · +15 other terms	21	$6	$6	$2	37%	4–40	$3 – $11
9	Medica professional · fee schedule · outpatient · +21 other terms	27	$5	$5	$1	25%	2–20	$3 – $11
10	Aetna fee schedule · outpatient · +33 other terms	418	$39	$108	$615	567%	1–10	$1 – $8.4k
11	Humana fee schedule · outpatient · +29 other terms	321	$38	$33	$16	50%	1–10	$3 – $88
12	Caresource facility · fee schedule · outpatient · +19 other terms	33	$57	$353	$1.4k	399%	1–10	$5 – $7.9k
13	Ucare professional · fee schedule · outpatient · +18 other terms	25	$4	$4	$1	27%	1–10	$3 – $9
14	Amerihealth Caritas professional · fee schedule · outpatient · +16 other terms	21	$5	$9	$14	158%	1–10	$3 – $62
15	Phcs professional · fee schedule · both · +14 other terms	10	$7	$7	$1	14%	1–10	$5 – $8
16	UnitedHealthcare fee schedule · outpatient · +40 other terms	366	$39	$195	$1.1k	574%	—	$1 – $14.9k
17	Cigna fee schedule · outpatient · +31 other terms	182	$39	$50	$41	82%	—	$4 – $193
18	WellCare fee schedule · outpatient · +23 other terms	153	$40	$42	$16	38%	—	$4 – $92
19	Ambetter fee schedule · outpatient · +21 other terms	68	$65	$65	$29	45%	—	$2 – $122
20	Kaiser fee schedule · outpatient · +25 other terms	68	$42	$53	$49	92%	—	$4 – $267
21	Devoted fee schedule · outpatient · +17 other terms	65	$39	$35	$12	34%	—	$5 – $44
22	Optum fee schedule · outpatient · +21 other terms	45	$34	$34	$28	85%	—	$4 – $138
23	Regence professional · fee schedule · outpatient · +19 other terms	36	$4	$7	$3	48%	—	$4 – $15
24	Oscar fee schedule · outpatient · +21 other terms	34	$47	$39	$36	92%	—	$1 – $107
25	Clover fee schedule · outpatient · +12 other terms	33	$42	$41	$3	7%	—	$34 – $46

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