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Psychotherapy, 45 Minutes, With E/M Visit

Vermont 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?

$95.50

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $83.18 to $112.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $105 · 10th to 90th $83 to $110Professionalmedian $95 · 10th to 90th $68 to $129
$100facility $105professional $95

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$123.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$169.82

Where Vermont 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.

Vermont· 4th of 51

$95.50

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.