Montana Commercial reimbursement
Psychiatry reimbursement rates in Montana
Compare price transparency averages for CPT 90792, CPT 90834 and CPT 90867 across Aetna, Anthem, Cigna and United. Preview Montana medians, rate ranges and named provider rates for free.
Price transparency averages
Montana averages by payer
| Service | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
| CPT 90792Psychiatric diagnostic evaluation with medical services | $223.27 | $261.24 | $263.35 | $292.45 |
| CPT 90834Psychotherapy, 45 minutes | $128.46 | $147.56 | $150.83 | $160.03 |
| CPT 90867TMS treatment planning | $256.84 | $394.61 | $371.42 | $481.03 |
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CPT 90792 - Psychiatric diagnostic evaluation with medical services
| Payer | Montana | National | Difference |
|---|---|---|---|
| Aetna | $223.27 | $184.24 | +21.2% |
| Cigna | $261.24 | $225.00 | +16.1% |
| United | $263.35 | $239.20 | +10.1% |
| Anthem | $292.45 | $251.42 | +16.3% |
CPT 90834 - Psychotherapy, 45 minutes
| Payer | Montana | National | Difference |
|---|---|---|---|
| Aetna | $128.46 | $108.92 | +17.9% |
| Cigna | $147.56 | $131.40 | +12.3% |
| United | $150.83 | $133.71 | +12.8% |
| Anthem | $160.03 | $148.46 | +7.8% |
CPT 90867 - TMS treatment planning
| Payer | Montana | National | Difference |
|---|---|---|---|
| Aetna | $256.84 | $271.97 | -5.6% |
| Cigna | $394.61 | $347.93 | +13.4% |
| United | $371.42 | $345.63 | +7.5% |
| Anthem | $481.03 | $472.13 | +1.9% |
Sources and methodology
Averages calculated by PayerPrice from health plan price transparency files.
- Rate source
- Each value is a payer-published negotiated or fee-schedule amount for professional psychiatry 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.
- 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
- 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.
- Diagnostic evaluations, standalone psychotherapy, psychotherapy add-ons, neuromodulation, and office visits remain distinct service lines.
- 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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