Average Medicaid Behavioral & Mental Health Therapy Payments in Durham, NC: $105.23
Avg. Paid
$105.23
Range
$0.01 – $1,099
Total Claims
235,257
Providers
17
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Behavioral & Mental Health Therapy in Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zulma Maria Sella Nieves
4004 Ben Franklin Blvd |
$95.83 | 32 | 31 |
|
Ian Joseph Palombo
1200 Broad St Ste 101 |
$45.97 | 43 | 38 |
|
Tamara Louise Starr
4509 Paces Ferry Dr |
$1,099 | 90 | 42 |
|
Carolina Community Support Services, Inc.
4324 S Alston Ave Ste 113 |
$62.88 | 681 | 36 |
|
Courtney Redman
911 Broad St |
$93.05 | 1,044 | 654 |
|
Allison Swarts
2917 Ginger Hill Ln |
$80.96 | 1,403 | 639 |
|
Kare 2 Communicate, Llc
5408 Beaumont Dr |
$60.71 | 2,244 | 606 |
|
B&D Integrated Health Services
249 E Nc Highway 54 Ste 320 |
$0.01 | 3,896 | 1,332 |
|
Triumph Enterprises Inc.
5205 Peppercorn St |
$61.04 | 6,236 | 2,117 |
|
Developmental Therapy Outreach Services
4506 Tyne Dr |
$60.75 | 6,671 | 1,704 |
|
Associated Family And Life Services, Llc
2144 Page Rd |
$146.40 | 12,407 | 1,793 |
|
Diverse Family Services
3020 Pickett Rd |
$121.52 | 18,503 | 1,152 |
|
Youth Extensions Inc.
1915 Chapel Hill Rd Ste A |
$150.14 | 20,948 | 1,292 |
|
Sunrise Clinical Associates, Pllc
3500 Westgate Dr |
$81.00 | 21,621 | 1,434 |
|
Jason C Ocean
2530 Meridian Pkwy Ste 300 |
$210.52 | 37,518 | 2,039 |
|
Mcmc, Inc.
24 Gwendolyn Cir |
$63.88 | 49,561 | 12,401 |
|
Threshold Inc
609 Gary St |
$65.89 | 52,359 | 3,574 |
What to Expect: Behavioral & Mental Health Therapy
Therapy sessions typically last 45-60 minutes. You'll meet with a licensed therapist to discuss your thoughts, feelings, and behaviors. Common approaches include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. Sessions are usually weekly. Group therapy sessions are 60-90 minutes with 6-12 participants.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Behavioral & Mental Health Therapy cost in Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Durham, NC is $105.23 per claim, based on 235,257 claims from 17 providers. Typical payments fall between $52.14 and $116.48. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Behavioral & Mental Health Therapy in Durham, NC?
There are 17 Medicaid providers offering Behavioral & Mental Health Therapy related services in Durham, NC according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Durham, NC?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Durham, NC ranges from $0.01 to $1,099 per claim, with an average of $105.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
Washington, DC
Avg $86.63
8,402,752 claims · 1641 providers
Miami, FL
Avg $96.96
6,731,703 claims · 689 providers
Phoenix, AZ
Avg $123.66
4,416,857 claims · 474 providers
Clinton, MO
Avg $0.01
3,575,106 claims · 5 providers
Los Angeles, CA
Avg $203.16
3,345,905 claims · 251 providers
Columbus, OH
Avg $86.62
2,709,784 claims · 2349 providers
Cleveland, OH
Avg $95.38
2,548,278 claims · 2098 providers
Toledo, OH
Avg $95.61
2,310,766 claims · 1774 providers
Other Procedures in Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims