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Interactive Complexity Add-On

Maine 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?

$12.88

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $12.88 for this service. Most negotiated rates run $10.96 to $15.49.

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.

How much rates vary

Facilitymedian $11 · 10th to 90th $3 to $15Professionalmedian $13 · 10th to 90th $5 to $18
$5$10$20facility $11professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$11.48
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$12.59
Typical High
$16.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.80
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$10.96
Typical High
$19.05
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$12.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$33.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.39
Typical High
$15.14
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.18
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.22
Typical High
$25.70

Where Maine 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.

Maine· 19th of 51

$12.88

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.