Psychotherapy, 30 minutes
- Aetna
- Not available
- Cigna
- Not available
- United
- $177.69
- Anthem
- Not available
Explore addiction medicine reimbursement rates in New Mexico. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
Psychotherapy, 30 minutes
Group psychotherapy (other than a multiple-family group)
Use the reference codes to compare payer benchmarks, then explore medication treatment; counseling; testing; office visits. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Each marker shows the national median published rate across billing entities for that payer.
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 1,315 | $66.77 | $78.29 | |||
| Cigna | Jun–Jul 2026 | 1,257 | $80.74 | $109.37 | |||
| United | Jun–Jul 2026 | 1,635 | $76.08 | $102.88 | |||
| Anthem | Jun–Jul 2026 | 1,454 | $75.85 | $98.48 |
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
Compare named provider rates with the selected payer's median and percentile distribution.
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| ALAN GERINGER MD LLCNPI 1114981065 · Tax ID 853830158 | MD | 2 | $53.96 | -$12.81 | Below P25 |
| KIRIT S PATEL MD APMCNPI 1477512309 · Tax ID 720981185 | LA | 2 | $60.27 | -$6.50 | Below P25 |
| INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA PCNPI 1801904636 · Tax ID 630900248 | AL | 27 | $63.56 | -$3.21 | P25 to median |
| SQUARE MEDICAL GROUP LLCNPI 1154443224 · Tax ID 900356113 | MA | 74 | Median to P75 | ||
| RIGHT CHOICE HEALTH GROUP, LLCNPI 1457729741 · Tax ID 474626752 | MA | 46 | Median to P75 | ||
| TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIANPI 1326381872 · Tax ID 231352685 | PA | 1,198 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 10 codes | ||||
S0109Methadone | $0.28 | $0.31 | $0.32 | $0.28 |
H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $24.23 | $7.08 | $250.40 | $30.38 |
H0004Behavioral health counseling and therapy | $15.73 | $11.34 | Not available | $26.59 |
H0005Alcohol and/or drug services; group counseling by a clinician | $22.07 | $5.58 | Not available | $23.59 |
H0047Alcohol and/or other drug abuse services | $183.83 | $291.99 | $1,537.23 | $0.01 |
H0006Alcohol and/or drug services; case management | $18.07 | $18.82 | Not available | $16.11 |
G9012Other specified case management service not elsewhere classified | $0.01 | $3.08 | Not available | $11.53 |
H0048Alcohol and/or other drug testing: collection and handling only | $6.27 | $1.32 | Not available | $3 |
T1016Case management | $11.44 | $50.60 | $12.73 | Not available |
H0002Behavioral health screening to determine eligibility for admission to treatment program | $60.08 | $10.99 | Not available | $23.23 |
$ per HCPCS drug unit · 3 codes | ||||
J0571Buprenorphine | $0.40 | $0.41 | $0.41 | $0.65 |
J0574Buprenorphine/naloxone | $7.62 | $11.44 | $11.16 | $7.52 |
J0572Buprenorphine/naloxone | $3.77 | $5.85 | $7.23 | $3.82 |
$ per reported billing unit · 2 codes | ||||
80305Presumptive drug testing by direct optical observation | $12.20 | $16.02 | $11.14 | $13 |
80307Presumptive drug testing by instrumented chemistry analysis | $61.05 | $75.48 | $55.80 | $63.68 |
$ per reported billing unit · 3 codes | ||||
99214Established patient office visit, level 4 | $110.62 | $151.85 | $153.85 | $144.65 |
99213Established patient office visit, level 3 | $75.90 | $103.44 | $106.99 | $103.22 |
99211Established patient office visit, minimal service | $18.82 | $25.63 | $30.73 | $27.43 |
$ per reported billing unit · 2 codes | ||||
90853Group psychotherapy (other than a multiple-family group) | $40.11 | $45.38 | $44.62 | $42.89 |
90832Psychotherapy, 30 minutes | $78.29 | $109.37 | $102.88 | $98.48 |
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
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We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
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Choose a state to compare payer reference averages for common services.
How to interpret the selected market and payer-published rates.
The headline uses Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) (H0020). The other reference codes and service lines provide separate comparisons rather than combining unlike services.
A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.
Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.