Initial 30-minute one-on-one health behavior counseling

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

HB=HLTH BEHAV INDIV 1ST 30 MIN GLOBAL

Payers reporting CPT 96158

Payer pricing summary

Low

$74

Average

$180

Median

$165

High

$423

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +29 other terms	131	$178	$216	$164	76%	12	$1 – $918
2	Humana fee schedule · outpatient · +27 other terms	227	$164	$167	$46	28%	1–10	$1 – $359
3	Kaiser fee schedule · outpatient · +20 other terms	70	$176	$224	$149	66%	1–10	$15 – $769
4	Medica professional · fee schedule · outpatient · +14 other terms	16	$77	$78	$14	18%	1–10	$54 – $128
5	Aetna fee schedule · outpatient · +32 other terms	301	$177	$304	$748	246%	—	$1 – $8.4k
6	UnitedHealthcare fee schedule · outpatient · +35 other terms	293	$163	$202	$236	117%	—	$1 – $4.7k
7	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	246	$237	$272	$140	51%	—	$59 – $1.2k
8	Molina fee schedule · outpatient · +24 other terms	108	$168	$191	$93	49%	—	$1 – $467
9	WellCare fee schedule · outpatient · +18 other terms	108	$169	$190	$68	36%	—	$24 – $377
10	Anthem fee schedule · outpatient · +23 other terms	103	$209	$203	$214	106%	—	$4 – $1.3k
11	Ambetter facility · fee schedule · outpatient · +16 other terms	74	$317	$396	$728	184%	—	$81 – $7.1k
12	Devoted fee schedule · outpatient · +12 other terms	54	$167	$155	$39	25%	—	$59 – $195
13	Optum fee schedule · outpatient · +18 other terms	34	$161	$197	$153	78%	—	$56 – $655
14	Oscar facility · fee schedule · outpatient · +17 other terms	34	$262	$255	$58	23%	—	$82 – $334
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$286	$269	$107	40%	—	$92 – $528
16	Caresource facility · fee schedule · outpatient · +15 other terms	28	$302	$592	$1.5k	250%	—	$85 – $7.9k
17	Clover fee schedule · outpatient · +7 other terms	26	$176	$176	$9	5%	—	$160 – $200
18	Regence professional · fee schedule · outpatient · +9 other terms	26	$60	$113	$50	45%	—	$57 – $202
19	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$225	$225	$45	20%	—	$169 – $295
20	MultiPlan fee schedule · outpatient · +18 other terms	24	$256	$242	$31	13%	—	$101 – $278
21	Highmark facility · fee schedule · outpatient · +13 other terms	23	$204	$206	$155	75%	—	$38 – $728
22	Medicare fee schedule · outpatient · +11 other terms	22	$59	$77	$44	57%	—	$57 – $198
23	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$187	$184	$4	2%	—	$178 – $188
24	Aetna Better Health facility · fee schedule · outpatient · +18 other terms	18	$56	$104	$87	83%	—	$45 – $381
25	Medical Mutual facility · fee schedule · outpatient · +12 other terms	16	$168	$495	$1.3k	255%	—	$91 – $6.0k

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