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Interactive Complexity Add-On

Wisconsin 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 $15 · 10th–90th $11$250%10%20%10th90th$15Professionalmedian $13 · 10th–90th $9$350%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
$10.00
Median
$12.59
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$12.88
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$22.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$15.49
Typical High
$50.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$21.38
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$21.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$16.22
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Network Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$39.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$21.38
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Quartz
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$38.90
Quartz
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$12.02
Typical High
$91.20
Security Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$21.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$36.31
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.76
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$42.66