go back

Psychotherapy, 45 Minutes, With E/M Visit

New Jersey 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?

$85.11

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $85.11 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$85.11$72.44 to $100
FacilityA hospital or hospital-owned outpatient department$85.11$75.86 to $95.50

How much rates vary

Facilitymedian $85 · 10th to 90th $68 to $126Professionalmedian $85 · 10th to 90th $65 to $117
$100$200facility $85professional $85

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
$67.61
Median
$85.11
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$100.00
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$162.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$158.49

Where New Jersey 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.

New Jersey· 35th of 51

$85.11

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.