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

Montana 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?

$115

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $178 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 6 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$115$97.72 to $135
FacilityA hospital or hospital-owned outpatient department$178$138 to $191

How much rates vary

Facilitymedian $178 · 10th to 90th $115 to $209Professionalmedian $115 · 10th to 90th $87 to $170
$100$200facility $178professional $115

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
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$281.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$239.88

Where Montana 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.

Montana· 10th of 51

$115

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.