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Psychotherapy, 45 Minutes, With E/M Visit

South 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?

$85.11

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $100 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$83.18$69.18 to $102
FacilityA hospital or hospital-owned outpatient department$100$87.10 to $123

How much rates vary

Facilitymedian $100 · 10th to 90th $78 to $145Professionalmedian $83 · 10th to 90th $62 to $132
$100$200facility $100professional $83

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
$97.72
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$144.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$81.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$144.54

Where South 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.

South Carolina· 34th 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.