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Psychotherapy, 45 Minutes, With E/M Visit

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $70.79 to $110.

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.

How much rates vary

Facilitymedian $79 · 10th to 90th $63 to $126Professionalmedian $89 · 10th to 90th $66 to $158
$100$200facility $79professional $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
$58.88
Median
$67.61
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$147.91
Avera
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$229.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$102.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$141.25

Where South Dakota 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 Dakota· 19th 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.