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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 July 2026.

How much does Interactive Complexity Add-On cost?

$12.30

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $15.14 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 5 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$12.30$10.72 to $14.45
FacilityA hospital or hospital-owned outpatient department$15.14$12.88 to $15.14

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $174Professionalmedian $12 · 10th to 90th $9 to $17
$5$10$20$50$100facility $15professional $12

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
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$16.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$14.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$12.88
Typical High
$70.79
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$15.14
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$12.59
Typical High
$21.88

Where West Virginia 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.

West Virginia· 40th of 51

$12.30

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.