Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 90875 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.
Psychophysiological Therapy, Individual Psychophysiological Therapy Incorporating Biofeedback Training By Any Modality Face To Face With The Patient With Psychotherapy Eg Insight Oriented Behavior Modifying Or Supportive Psychotherapy 30 Minutes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None 59 - Distinct Procedural Service AJ |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90875 |
| Medicaid Fee Schedule | View Medicaid rates for 90875 |
National average reimbursement for CPT 90875 by major payers:
$73.61
$84.07
$75.16
$86.44
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 90875.
CPT 90875
5 of 25 sample ratesHigher to lower in this preview
Lubov Romantseva
Pediatric Faculty Foundation In
$180.30Published rateClaudine Sinsioco
Inova Health Care Services
$131.16Published rateSuraya Kawadry
Loyola University Medical Center
$119.81Published rateSyed Khan
Loyola University Medical Center
$101.08Published rateJohn Millichap
$62.90Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 90875 vs. Other Psychiatry Services and Procedures Codes
The CPT 90875 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 90875 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 |
|---|---|---|
| 90840-CPT | Low | Crisis Therapy 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional For Crisis Management; 30 Minutes. |
| 90845-CPT | Low | Mental Health Therapy, Primarily Talk Therapy Provided By A Psychiatrist Or Other Therapist. The Therapy Often Will Focus On Interaction Between The Conscious And Unconscious Aspects Of The Mind. |
| 90875-CPT | Low | Psychophysiological Therapy, Individual Psychophysiological Therapy Incorporating Biofeedback Training By Any Modality Face To Face With The Patient With Psychotherapy Eg Insight Oriented Behavior Modifying Or Supportive Psychotherapy 30 Minutes |
| 90876-CPT | Low | Psychophysiological Therapy, Individual Psychophysiological Therapy Incorporating Biofeedback Training By Any Modality Face To Face With The Patient With Psychotherapy Eg Insight Oriented Behavior Modifying Or Supportive Psychotherapy 45 Minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90875. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90875 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 90875) and we'll show you how you compare in 15 minutes or less.