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Psychotherapy, 45 Minutes, With E/M Visit

Iowa rates for HCPCS 90836

This covers 45 minutes of talk therapy provided on the same day as, and in addition to, a separate medical evaluation and management visit, such as a medication check with a psychiatrist. It's always billed in addition to that other visit, rather than on its own. The 45-minute length distinguishes it from shorter or longer therapy sessions available separately.

Rates data updated July 2026.

How much does Psychotherapy, 45 Minutes, With E/M Visit cost?

$83.18

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $89.13 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 8 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$83.18$67.61 to $102
FacilityA hospital or hospital-owned outpatient department$89.13$79.43 to $117

How much rates vary

Facilitymedian $89 · 10th to 90th $76 to $138Professionalmedian $83 · 10th to 90th $62 to $129
$100$200$500facility $89professional $83

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
$58.88
Median
$67.61
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$141.25
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$229.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$218.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$138.04

Where Iowa 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.

Iowa· 37th of 51

$83.18

OR $102WV $79.43

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.