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Wisconsin rates for HCPCS 90838

Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)

Facilitymedian $117 · 10th–90th $98$2140%10%20%10th90th$117Professionalmedian $115 · 10th–90th $85$2450%10%10th90th$115$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $107.15 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $354.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $162.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $234.42 / $436.52
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $120.23 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $120.23 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $199.53
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $141.25 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $354.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $144.54 / $758.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $169.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $338.84