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

Iowa 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 negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $123 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$105$89.13 to $126
FacilityA hospital or hospital-owned outpatient department$123$107 to $162

How much rates vary

Facilitymedian $123 · 10th to 90th $102 to $204Professionalmedian $105 · 10th to 90th $83 to $158
$100$200$500facility $123professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$302.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$181.97

Where Iowa 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.

Iowa· 43rd 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.