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Psychotherapy, 45 Minutes, With E/M Visit

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $91.20 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$87.10$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$91.20$81.28 to $120

How much rates vary

Facilitymedian $91 · 10th to 90th $76 to $158Professionalmedian $87 · 10th to 90th $62 to $178
$50$100$200$500facility $91professional $87

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
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$131.83
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
$39.81
Median
$74.13
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$562.34
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$89.13
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$165.96

Where Missouri 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.

Missouri· 30th 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.