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Michigan rates for HCPCS 90838

Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)

Facilitymedian $102 · 10th–90th $62–$1320%20%10th90th$102Professionalmedian $112 · 10th–90th $83–$2000%10%20%10th90th$112$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $70.79 / $79.43
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $147.91 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $245.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $131.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $114.82 / $177.83
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $169.82