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Psychotherapy, 45 Minutes, With E/M Visit

Illinois 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?

$87.10

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $79.43 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 7 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$89.13$74.13 to $110
FacilityA hospital or hospital-owned outpatient department$79.43$70.79 to $83.18

How much rates vary

Facilitymedian $79 · 10th to 90th $63 to $98Professionalmedian $89 · 10th to 90th $66 to $132
$50$100$200facility $79professional $89

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
$63.10
Median
$79.43
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$169.82

Where Illinois 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.

Illinois· 28th of 51

$87.10

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.