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Sedative-Assisted Psychiatric Interview

Pennsylvania rates for HCPCS 90865

A psychiatric procedure in which a sedative medication is given through an intravenous line to help a patient access and discuss difficult memories, feelings, or experiences that are hard to reach in a standard conversation. It is used both to aid diagnosis and, in some cases, as part of treatment.

Rates data updated July 2026.

How much does Sedative-Assisted Psychiatric Interview cost?

$148

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $66.07 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 9 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$148$123 to $166
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $380

How much rates vary

Facilitymedian $66 · 10th to 90th $66 to $380Professionalmedian $148 · 10th to 90th $112 to $191
$50$100$200$500facility $66professional $148

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
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$181.97
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$295.12
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$104.71
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$354.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$190.55
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$199.53
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$302.00

Where Pennsylvania sits

The same service costs 1.5 times more in North Dakota than in Delaware. 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.

Pennsylvania· 35th of 51

$148

ND $200DE $132

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.