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New Jersey 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 $85 · 10th–90th $68–$1380%20%10th90th$85Professionalmedian $87 · 10th–90th $65–$1380%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
$72.44 / $85.11 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $138.04
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$134.90 / $134.90 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $83.18 / $100.00
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $95.50 / $162.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $64.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $75.86 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $147.91