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

Illinois 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?

$110

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $105 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 7 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$110$95.50 to $135
FacilityA hospital or hospital-owned outpatient department$105$93.33 to $123

How much rates vary

Facilitymedian $105 · 10th to 90th $83 to $135Professionalmedian $110 · 10th to 90th $87 to $158
$50$100$200facility $105professional $110

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
$83.18
Median
$104.71
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$213.80

Where Illinois 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.

Illinois· 21st of 51

$110

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.