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

South Dakota 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?

$110

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $93.33 to $135.

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.

How much rates vary

Facilitymedian $105 · 10th to 90th $89 to $178Professionalmedian $110 · 10th to 90th $83 to $158
$100$200facility $105professional $110

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
$79.43
Median
$89.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$144.54
Avera
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$251.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$190.55

Where South Dakota 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.

South Dakota· 17th of 51

$110

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.