Iowa Commercial reimbursement
Therapy & Counseling reimbursement rates in Iowa
Compare price transparency averages for CPT 90832, CPT 90834 and CPT 90837 across Aetna, Anthem, Cigna and United. Preview Iowa medians, rate ranges and named provider rates for free.
Price transparency averages
Iowa averages by payer
| Service | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
| CPT 90832Psychotherapy, 30 minutes | $63.84 | $84.58 | $58.27 | $66.94 |
| CPT 90834Psychotherapy, 45 minutes | $86.62 | $112.67 | $77.68 | $91.56 |
| CPT 90837Psychotherapy, 60 minutes | $124.50 | $161.10 | $112.31 | $128.52 |
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CPT 90832 - Psychotherapy, 30 minutes
| Payer | Iowa | National | Difference |
|---|---|---|---|
| Aetna | $63.84 | $69.53 | -8.2% |
| Cigna | $84.58 | $57.98 | +45.9% |
| United | $58.27 | $65.51 | -11.1% |
| Anthem | $66.94 | $65.18 | +2.7% |
CPT 90834 - Psychotherapy, 45 minutes
| Payer | Iowa | National | Difference |
|---|---|---|---|
| Aetna | $86.62 | $100.76 | -14.0% |
| Cigna | $112.67 | $82.35 | +36.8% |
| United | $77.68 | $88.39 | -12.1% |
| Anthem | $91.56 | $92.17 | -0.7% |
CPT 90837 - Psychotherapy, 60 minutes
| Payer | Iowa | National | Difference |
|---|---|---|---|
| Aetna | $124.50 | $135.51 | -8.1% |
| Cigna | $161.10 | $108.58 | +48.4% |
| United | $112.31 | $126.14 | -11.0% |
| Anthem | $128.52 | $126.16 | +1.9% |
Sources and methodology
Averages calculated by PayerPrice from health plan price transparency files.
- Rate source
- Each value is a payer-published in-network negotiated or fee-schedule amount for professional therapy billing
- Not a claim, charge, or estimate of total allowed spending.
- Rate calculation
- One modal value is selected per NPI and TIN entity before trimming two percent from each tail.
- National and state summaries are not weighted by visit volume and require at least 10 included entities.
- The calculation targets the lowest and highest 2% of entity rates for removal, rounded down to whole entities.
- Tied boundary values stay together, so fewer rates may be removed.
- A payer, code and geography cohort is published only when at least 10 billing entities remain after trimming.
- A missing benchmark does not mean the rate is zero.
- Provider entity
- The source records are limited to therapist NPI taxonomies for counselors, clinical social workers, marriage and family therapists, psychoanalysts, and psychotherapy-focused psychologists.
- Medical prescribers, facilities, school providers, and broad behavioral health agencies are excluded.
- Each NPI and TIN combination contributes one representative rate: its most frequent normalized value.
- When multiple values are equally frequent, those values are averaged.
- Comparable rates
- This initial view includes records without a reported modifier.
- Telehealth modifiers and compound modifier combinations require a separately labeled comparison.
- Benchmarks keep the payer, service code, geography, reporting period and billing unit separate.
- Different services or payment units are not blended into one rate.
Published negotiated rates are not claim payments or a provider's verified contract.
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