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Interactive Complexity Add-On

Montana 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 Montana, 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 $20.42 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 6 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$10.96 to $15.85
FacilityA hospital or hospital-owned outpatient department$20.42$14.45 to $23.99

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $26Professionalmedian $13 · 10th to 90th $5 to $20
$5$10$20facility $20professional $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
Professional
Modifier
Global
Typical Low
$4.90
Median
$12.88
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$20.42
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$10.96
Typical High
$22.91
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$25.70
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$25.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$19.50
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$16.98
Typical High
$35.48

Where Montana 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.

Montana· 12th 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.