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Psychotherapy, 45 Minutes, With E/M Visit

Virginia 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?

$79.43

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $83.18 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$79.43$67.61 to $97.72
FacilityA hospital or hospital-owned outpatient department$83.18$72.44 to $110

How much rates vary

Facilitymedian $83 · 10th to 90th $62 to $138Professionalmedian $79 · 10th to 90th $60 to $117
$100$200$500facility $83professional $79

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
$69.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$144.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$83.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$165.96

Where Virginia 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.

Virginia· 49th of 51

$79.43

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.