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Interactive Complexity Add-On

West Virginia 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 October 2026.

How much does Interactive Complexity Add-On cost?

$11.48

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $15.14 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.48$11.22 to $14.79
FacilityA hospital or hospital-owned outpatient department$15.14$12.88 to $15.14

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $20Professionalmedian $11 · 10th to 90th $3 to $15
$5$10$20$50$100facility $15professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.88
Typical High
$15.14
CareSource
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.80
Typical High
$22.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$4.27
Typical High
$15.14
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.22
Typical High
$14.79

Where West Virginia sits

The same service costs 1.8 times more in Alaska than in Georgia. 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.

West Virginia· 38th of 51

$11.48

AK $18.20GA $10.00

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.