Group Psychotherapy
CPT Code: 90853
Was your bill higher than this?
Enter what you were charged below to instantly see how your bill compares to the Medicare benchmark — and whether it’s worth disputing.
Check My Bill for Group Psychotherapy →Understanding the cost of Group Psychotherapy
What does the Medicare rate mean?
The Medicare rate of $25.20 is the amount the federal government pays providers for CPT 90853under the Medicare Physician Fee Schedule. It’s the most widely published benchmark for what a procedure "should" cost and is used as a reference point by commercial insurers when negotiating their own rates.
What do commercial insurers pay?
Commercial insurers (Blue Cross, Aetna, UnitedHealth, etc.) negotiate rates independently with each provider network. As a rule of thumb, these rates fall in the $30.24 – $50.40 range for Group Psychotherapy — roughly 1.2 to 2 times Medicare. If you were billed significantly more, the excess may be negotiable.
What if I was billed more than the commercial range?
Bills above the typical commercial range are common, especially for uninsured or out-of-network patients who receive chargemaster (list) prices. You have several options:
- Ask for the Medicare rate or self-pay discount — many providers will accept this immediately.
- Request an itemized bill — billing errors are common and can account for hundreds or thousands of dollars.
- Appeal if you have insurance — if the procedure was denied or you were billed out-of-network, you have the right to appeal.
- Ask about financial assistance — nonprofit hospitals are required by law to offer charity care programs.
How mental health charges like this are billed
Outpatient mental health is billed primarily by session length — a 45-minute psychotherapy session (90834) is a different code and price than a 60-minute one (90837). Federal mental health parity law requires plans to cover behavioral health no more restrictively than medical care, which gives strong footing when claims are wrongly denied or cost-shared.
Common billing problems with mental health charges
Session length coded longer than the visit
If a standard 45-minute session was billed as a 60-minute session (90837), the higher charge may not be supported. Compare the billed code to your actual appointment length.
Parity violations in coverage
If your plan applies stricter visit limits, higher copays, or tougher authorization to mental health than to comparable medical care, that may violate federal parity law and can be challenged.
Telehealth processed incorrectly
Telehealth mental health sessions need the correct place-of-service and modifier. A denial tied to telehealth coding is often a fixable resubmission rather than a true non-covered service.
How to push back on this charge
For coverage denials, raise mental health parity directly with your insurer. For session-length charges, ask for the visit documentation to confirm the billed code matches the time spent.
Frequently asked questions
How much does Group Psychotherapy cost without insurance?
Without insurance, you may be billed the chargemaster (list) rate, which can be 3–10× the Medicare rate. For Group Psychotherapy, that could mean a bill of $75.60–$126.00 or more. Always ask for the self-pay or cash-pay rate before accepting the listed price — providers often offer significant discounts.
What is CPT code 90853?
CPT 90853 is the Current Procedural Terminology code assigned to Group Psychotherapy. It’s used by providers, insurers, and Medicare to identify and bill for this specific service. You’ll find it on your Explanation of Benefits (EOB) or itemized bill.
Can I negotiate the cost of Group Psychotherapy?
Yes. Negotiating medical bills is common and often successful. Referencing the Medicare rate of $25.20 gives you a credible, federally published benchmark to anchor the conversation. Many providers will accept 1–1.5× Medicare as a cash settlement.