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See a sample rate comparisonCPT 90838 Fee Schedule
Medicare rates as of October 2026
CPT 90838 is classified under Medicine Services and Procedures, in the Psychiatry Services and Procedures subgroup.
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)
| 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 | $136.61 national non-facility rate (2026) · View Medicare rates for 90838 |
| Medicaid Fee Schedule | $112.685 median of the 8 states in the free preview · View Medicaid rates for 90838 |
National average reimbursement for CPT 90838 by major payers:
$123.17
BCBS / Anthem
$133.08
UnitedHealthcare
$133.12
Aetna
$191.42
Cigna
Compare published rates across providers.
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CPT 90838
5 of 25 sample ratesHigher to lower in this preview
Paulo Lizano
Hadine Joffe
$526.00Published rateKaryn Ellis
Bramblebush Pediatrics, LLP
$324.66Published rateTrevor Forbes
Center For Family Guidance, PC
$122.40Published rateSeeba Anam
University Of Chicago
$100.00Published rateAaron Dubrinsky
New Horizons Of The Treasure Coast Inc
$74.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90838 vs. Other Psychiatry Services and Procedures Codes
The table lists codes related to 90838. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| 90840-CPT | Low | Crisis Therapy 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional For Crisis Management; 30 Minutes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90838. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90838 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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