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

Michigan 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 Michigan, 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 $102 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$93.33 to $123
FacilityA hospital or hospital-owned outpatient department$102$91.20 to $120

How much rates vary

Facilitymedian $102 · 10th to 90th $71 to $135Professionalmedian $105 · 10th to 90th $81 to $141
$100$200facility $102professional $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
$91.20
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$138.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$245.47
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$158.49
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$181.97

Where Michigan 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.

Michigan· 36th 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.