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Add-On Psychotherapy, 60 Minutes (With Medical Visit)

Washington, DC rates for HCPCS 90838

A talk-therapy session lasting around 60 minutes, provided on the same day as, and in addition to, a separate medical evaluation and management visit with the same provider. It allows a prescriber to combine a longer counseling session with a medical or medication check during a single appointment. It's not billed as a stand-alone visit.

Rates data updated July 2026.

How much does Add-On Psychotherapy, 60 Minutes (With Medical Visit) cost?

$105

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $91.20 to $120.

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 $81 · 10th to 90th $71 to $107Professionalmedian $105 · 10th to 90th $81 to $138
$100$200facility $81professional $105

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
$70.79
Median
$81.28
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$275.42

Where Washington, DC 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.

Washington, DC· 33rd of 51

$105

MN $129DE $102

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.