go back

Psychotherapy, 45 Minutes, With E/M Visit

West 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 West 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 $89.13 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 5 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$66.07 to $93.33
FacilityA hospital or hospital-owned outpatient department$89.13$81.28 to $110

How much rates vary

Facilitymedian $89 · 10th to 90th $63 to $110Professionalmedian $79 · 10th to 90th $60 to $115
$50$100facility $89professional $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
$81.28
Median
$93.33
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$95.50
Typical High
$501.19
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$89.13
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$125.89

Where West 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.

West Virginia· 51st 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.