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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.

How much does Interactive Complexity Add-On cost?

$13.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $13.49 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 7 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$13.18$11.22 to $15.85
FacilityA hospital or hospital-owned outpatient department$13.49$11.75 to $14.13

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $16Professionalmedian $13 · 10th to 90th $9 to $20
$5$10$20facility $13professional $13

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
$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

Where Illinois sits

Rates are fairly even across states for this service. 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.

Illinois· 13th of 51

$13.18

MN $15.14SC $12.02

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.