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See a sample rate comparisonCPT 90833 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Psychotherapy 30 Minutes With, Psychotherapy 30 Minutes With Patient Andor Family Member When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | $81.50 national non-facility rate (2026) · View Medicare rates for 90833 |
| Medicaid Fee Schedule | $65.725 median of the 8 states in the free preview · View Medicaid rates for 90833 |
National average reimbursement for CPT 90833 by major payers:
$72.97
$74.26
$80.12
$111.45
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CPT 90833
5 of 25 sample ratesHigher to lower in this preview
Marcus Peterlin
$445.76Published rateSteven Moyo
Healing The Soul
$264.85Published rateJoshua Adler
$92.44Published rateSarah Johnson
Addiction Recovery Care LLC
$72.23Published rateEye Center Optometrics, A Professional Corporation
$56.56Published rate
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See a sample payer proposalCPT 90833 vs. Other Psychiatry Services and Procedures Codes
The CPT 90833 code is part of the Medicine Services and Procedures services used for Psychiatry Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90833 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90832-CPT | Low | Psychotherapy Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90833-CPT | Low | Psychotherapy 30 Minutes With, Psychotherapy 30 Minutes With Patient Andor Family Member When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure) |
| 90836-CPT | Low | Psychotherapy 45 Minutes With, Psychotherapy 45 Minutes With Patient Andor Family Member When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure) |
| 90838-CPT | Low | Psychotherapy 60 Minutes With, Psychotherapy 60 Minutes With Patient Andor Family Member When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90833. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90833 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find the cost of a specific medical procedure or service, you'll generally need the Current Procedural Terminology (CPT) code for that service and your geographic location. Many tools are available to help you with this. For a detailed lookup of fee schedules based on CPT code and specific location, you can use Payerprice's fee schedule lookup tool.
A CPT (Current Procedural Terminology) code is a five-digit number used by medical professionals to report medical, surgical, and diagnostic services to entities like insurance companies. It's crucial for looking up costs because it standardizes the description of services, allowing you to accurately search for pricing information.
Several factors can influence the cost of a medical procedure, including the healthcare provider's facility (hospital vs. outpatient clinic), geographic location, your insurance plan's negotiated rates, the complexity of the procedure, and whether the provider is in-network or out-of-network.
For an estimate of your out-of-pocket costs, it's best to contact your insurance provider directly. They can provide information on your deductible, co-pays, and co-insurance for specific services. For general fee schedule information that can help you understand the base cost, you can use tools like Payerprice's fee schedule lookup tool with the CPT code and your location.
Payerprice provides a fee schedule lookup tool that allows users to search with a CPT code and specific location to find relevant pricing information. While CMS (Centers for Medicare & Medicaid Services) provides extensive data, Payerprice is designed to offer a user-friendly, specific tool for individuals to search for fee schedules tailored to their CPT code and location, which can be more directly applicable for personal cost estimation.