CPT90834

How Much Does Psychotherapy (45 min) Cost in Colorado?

Psytx w pt 45 minutes

$116.55In-office total2026 Medicare, Colorado average

Under 2026 Medicare rates, psychotherapy (45 min) in a doctor's office costs about $117 in Colorado, with no separate facility fee. In a facility the national total is up to about $273 at a hospital outpatient department, because the facility is paid its own rate on top of the physician.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 80001.
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Colorado Medicare physician rate (2026)

+2.3% vs national

Single statewide locality.

Colorado (Hospital)
$93.10
Facility physician fee
Private plan est.
$152–$233
~130–200% of Medicare
Cash / self-pay est.
$93–$175
~80–150% of Medicare

What it costs in a hospital or surgery center

In a doctor’s office, the office rate above is the whole Medicare payment. When the same procedure is done in a hospital or surgery center, the facility bills its own fee on top of the physician, which is what these totals show. They are 2026 national Medicare amounts.

Physician fee alone
$92
Only 34% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Colorado

Enter a ZIP code to compare your area of Colorado, from Denver, Boulder, Fort Collins, and Colorado Springs to Grand Junction, the mountain resort counties, and the Eastern Plains.

What psychotherapy (45 min) costs at hospitals near you

Everything above is a national average. The hospital you pick in Colorado moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 80001.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Colorado the office and hospital physician lines for this CPT differ by $23.45.

National vs Colorado

National office$113.90
National hospital (physician)$91.85
Colorado vs national2% above the national office rate of $113.90

Where Colorado ranks for this CPT

Rank (lowest physician fee first)#43 of 51
Lowest stateArkansas ($109.66)
Highest stateAlaska ($158.15)

Psychotherapy (45 min) and how Colorado is priced

Colorado's physician fees are set through a single statewide locality, so the Front Range and the Western Slope share one set of geographic adjustments despite very different local economies. The state's indices run modestly above the national midpoint, reflecting Denver-area wages and rents averaged against lower-cost rural areas. Because the locality is unified, mountain resort towns do not carry a higher Medicare fee schedule even though their private-market prices are famously steep. That gap between Medicare's uniform pricing and wide private-price variation is a defining feature of the Colorado market.

Care is concentrated along the Front Range from Fort Collins through Denver to Colorado Springs and Pueblo, where several large systems and an academic medical center compete. Mountain and plains communities depend on smaller hospitals, and residents there commonly drive to Denver or Grand Junction for specialty procedures. Resort-area facilities can bill far above what the corridor cities charge, so location shopping pays off in this state.

This procedure: This is a standard individual psychotherapy session of about 45 minutes, the most commonly billed therapy length in the United States. You meet one-on-one with a therapist, in person or by video, to work on concerns such as anxiety, depression, or life stressors using approaches like cognitive behavioral therapy. Care typically involves weekly or biweekly sessions over months, so the per-session price compounds into a meaningful recurring expense.

What Is Psychotherapy (45 min)?

This is a standard individual psychotherapy session of about 45 minutes, the most commonly billed therapy length in the United States. You meet one-on-one with a therapist, in person or by video, to work on concerns such as anxiety, depression, or life stressors using approaches like cognitive behavioral therapy. Care typically involves weekly or biweekly sessions over months, so the per-session price compounds into a meaningful recurring expense.

What Affects the Cost

  • –Therapy is a recurring cost; the number of sessions over a course of care dwarfs any single session fee.
  • –Cash-pay rates vary enormously by city and clinician credential, and many therapists operate entirely outside insurance.
  • –In-network copays or coinsurance per session are often much lower than cash rates, when you can find an in-network therapist with openings.
  • –The technical difference between this 45-minute code and the 60-minute 90837 changes both the charge and what insurers reimburse.
  • –Sliding-scale fees, training clinics, and employer EAP sessions can reduce or eliminate cost for a set number of visits.

Questions to Ask Before Booking

  • 1.What is my per-session cost in network, and what would I actually get back if I see you out of network with a superbill?
  • 2.Do you offer a sliding scale or reduced rate if I pay cash?
  • 3.Does my employer EAP cover any sessions free before my insurance kicks in?
  • 4.How many sessions do you anticipate for my goals?
  • 5.What is your cancellation fee policy, since insurance will not pay those?

Psychotherapy (45 min) in Colorado: questions

Under 2026 Medicare rates, psychotherapy (45 min) in a doctor's office costs about $117 in Colorado, with no separate facility fee. In a facility the national total is up to about $273 at a hospital outpatient department, because the facility is paid its own rate on top of the physician. Colorado is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. Colorado uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $23 for the office physician line or $19 for the hospital physician line in Colorado. Medigap may cover that 20%. This is not the hospital facility fee.

In a doctor's office, $116.55 is Medicare's whole payment in Colorado: it covers the physician, the room and the supplies, with no separate facility fee. If it is done in a hospital outpatient department instead, the physician is paid about $93.10 and the hospital adds its own facility payment, bringing the national total to up to about $273. Services billed under other codes, such as lab work, are extra. Colorado ranks #43 of 51 states on the office rate (2% above the national office rate of $113.90).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.