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Maryland rates for HCPCS 90836

Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)

Facilitymedian $72 · 10th–90th $59–$1290%10%10th90th$72Professionalmedian $87 · 10th–90th $62–$1550%10%10th90th$87$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $173.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $107.15 / $154.88