go back

Psychotherapy, 45 Minutes, With E/M Visit

Kentucky 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?

$81.28

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $74.13 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 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$81.28$67.61 to $100
FacilityA hospital or hospital-owned outpatient department$74.13$63.10 to $89.13

How much rates vary

Facilitymedian $74 · 10th to 90th $60 to $110Professionalmedian $81 · 10th to 90th $58 to $126
$50$100$200$500facility $74professional $81

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
$56.23
Median
$70.79
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$162.18

Where Kentucky 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.

Kentucky· 47th of 51

$81.28

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.