CPT 90804
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PSYTX OFFICE 20-30 MIN UNSCHEDULED
Low
$39
Average
$1.1k
Median
$151
High
$13.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 20 | $97 | $154 | $141 | 91% | — | $21 – $412 |
| 2 | Aetna facility · fee schedule · outpatient · +2 other terms | 6 | $140 | $473 | $2.1k | 450% | — | $63 – $13.9k |
| 3 | First Health fee schedule · both · +2 other terms | 5 | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Cigna facility · fee schedule · outpatient | 3 | $40 | $39 | $9 | 23% | — | $32 – $55 |
| 5 | Aetna Better Health fee schedule · inpatient | 2 | $224 | $224 | — | — | — | $224 – $224 |
| 6 | Anthem facility · fee schedule · outpatient · +1 other terms | 2 | $124 | $124 | $50 | 41% | — | $74 – $175 |
| 7 | Humana fee schedule · outpatient · +2 other terms | 2 | $6.1k | $6.3k | $1.5k | 23% | — | $5.0k – $8.3k |
| 8 | Kaiser fee schedule · both | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Tricare facility · fee schedule · outpatient | 2 | $168 | $172 | $29 | 17% | — | $131 – $207 |
| 10 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $285 | $285 | $99 | 35% | — | $186 – $384 |
← Hospitals reporting CPT 90804 · Snapshot 20261113T090226Z-3ce6c0b8