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

Vermont 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?

$117

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $102 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $95 to $141Professionalmedian $117 · 10th to 90th $89 to $151
$100$200facility $110professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$117.49
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$181.97
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$223.87

Where Vermont 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.

Vermont· 5th of 51

$117

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.