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

Missouri 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?

$107

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $107 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$91.20 to $129
FacilityA hospital or hospital-owned outpatient department$123$110 to $155

How much rates vary

Facilitymedian $123 · 10th to 90th $102 to $209Professionalmedian $105 · 10th to 90th $81 to $174
$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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$741.31
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$213.80

Where Missouri 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.

Missouri· 26th of 51

$107

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.