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Psychotherapy, 45 Minutes, With E/M Visit

North Carolina 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?

$89.13

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $115 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$89.13$77.62 to $110
FacilityA hospital or hospital-owned outpatient department$115$89.13 to $120

How much rates vary

Facilitymedian $115 · 10th to 90th $79 to $145Professionalmedian $89 · 10th to 90th $66 to $145
$100$200facility $115professional $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
$87.10
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$97.72
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$144.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$776.25

Where North Carolina 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.

North Carolina· 12th of 51

$89.13

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.