# CPT 90836: Psychotherapy, 45 minutes with patient, add-on to E/M service

Medicare CPT 90836 pays $103.21 in a non-facility setting and $83.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $97.96 in Arkansas to $140.07 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/90836-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Emergency Medicine, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $103.21 |
| National facility | $83.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $140.07 | $118.73 |
| District of Columbia | $112.42 | $88.81 |
| New York | $110.85 | $88.49 |
| New Jersey | $110.70 | $88.13 |
| California | $109.72 | $86.01 |
| Washington | $108.85 | $86.01 |
| Massachusetts | $108.32 | $85.81 |
| Connecticut | $107.38 | $85.80 |
| Hawaii | $105.93 | $83.14 |
| Florida | $105.83 | $85.72 |
| Maryland | $105.55 | $84.66 |
| Colorado | $105.29 | $83.97 |
| Rhode Island | $105.22 | $84.52 |
| Illinois | $104.95 | $85.59 |
| Oregon | $104.55 | $83.44 |
| New Hampshire | $104.03 | $83.16 |
| Puerto Rico | $103.48 | $83.22 |
| Virgin Islands | $103.48 | $83.22 |
| Pennsylvania | $103.47 | $83.84 |
| Montana | $103.20 | $83.16 |
| Texas | $102.98 | $83.25 |
| Delaware | $102.96 | $83.16 |
| Nevada | $102.79 | $82.73 |
| Michigan | $102.59 | $83.77 |
| Georgia | $102.55 | $83.44 |
| Wyoming | $102.51 | $82.47 |
| Minnesota | $102.14 | $81.52 |
| Arizona | $101.95 | $82.53 |
| Virginia | $101.95 | $82.25 |
| North Dakota | $101.62 | $81.58 |
| Vermont | $101.61 | $81.77 |
| South Dakota | $101.43 | $81.39 |
| New Mexico | $101.42 | $83.04 |
| Utah | $101.25 | $82.41 |
| Maine | $100.96 | $81.82 |
| Louisiana | $100.90 | $82.60 |
| Missouri | $100.86 | $82.47 |
| Ohio | $100.79 | $82.49 |
| West Virginia | $100.69 | $83.27 |
| South Carolina | $100.68 | $82.16 |
| North Carolina | $100.36 | $81.67 |
| Wisconsin | $100.18 | $80.98 |
| Kentucky | $99.87 | $82.05 |
| Indiana | $99.79 | $81.21 |
| Oklahoma | $99.61 | $81.71 |
| Idaho | $99.56 | $81.12 |
| Tennessee | $99.42 | $81.20 |
| Nebraska | $99.39 | $80.89 |
| Iowa | $99.21 | $80.88 |
| Kansas | $99.19 | $81.07 |
| Mississippi | $98.61 | $81.36 |
| Alabama | $98.54 | $81.01 |
| Arkansas | $97.96 | $80.74 |

## Related codes

- 90785: Interactive complexity (add-on) — https://www.med-reveal.com/rates/90785-cpt-fee-schedule
- 90832: Psychotherapy, 30 minutes with patient — https://www.med-reveal.com/rates/90832-cpt-fee-schedule
- 90833: Psychotherapy, 30 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90833-cpt-fee-schedule
- 90834: Psychotherapy, 45 minutes with patient — https://www.med-reveal.com/rates/90834-cpt-fee-schedule
- 90837: Psychotherapy, 60 minutes with patient — https://www.med-reveal.com/rates/90837-cpt-fee-schedule
- 90838: Psychotherapy, 60 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90838-cpt-fee-schedule
- 90845: Psychoanalysis — https://www.med-reveal.com/rates/90845-cpt-fee-schedule
- 90880: Hypnotherapy — https://www.med-reveal.com/rates/90880-cpt-fee-schedule

Commercial negotiated rates for 90836 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules