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Interactive Complexity Add-On

Illinois rates for HCPCS 90785

An add-on service reported alongside a separate psychiatric or therapy visit when communication during the appointment is meaningfully more complicated than usual, for example because an interpreter, a play-based approach for a young child, or coordination with other caregivers or agencies is needed. It reflects the extra effort involved in delivering care effectively under these circumstances rather than a separate visit on its own. It is never billed by itself.

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $10$160%20%10th90th$13Professionalmedian $13 · 10th–90th $9$200%10%10th90th$13$5.0$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$14.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$12.02
Typical High
$20.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.17
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.13
Typical High
$29.51