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Interactive Complexity Add-On

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $13.18 for this service. Most negotiated rates run $11.48 to $15.14.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11 · 10th to 90th $3 to $15Professionalmedian $13 · 10th to 90th $6 to $17
$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
$3.24
Median
$11.48
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$13.18
Typical High
$16.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$10.96
Typical High
$16.98
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.79
Typical High
$30.90

Where Vermont 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.

Vermont· 15th 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.