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

North Carolina 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?

$112

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $132 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$112$100 to $138
FacilityA hospital or hospital-owned outpatient department$132$110 to $155

How much rates vary

Facilitymedian $132 · 10th to 90th $105 to $186Professionalmedian $112 · 10th to 90th $87 to $170
$100$200$500facility $132professional $112

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
$109.65
Median
$109.65
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$213.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,023.29

Where North Carolina 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.

North Carolina· 14th of 51

$112

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.