Average Medicaid Behavioral & Mental Health Therapy Payments in Rochester, NY: $160.40
Avg. Paid
$160.40
Range
$25.25 – $681.12
Total Claims
282,036
Providers
29
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hillside Childrens Center
1183 Monroe Avenue |
$86.14 | 132,754 | 27,833 |
|
John Herbert Lynch
1183 Monroe Ave |
$99.79 | 53,395 | 3,945 |
|
Laura Henrichs Cardella
315 Science Pkwy |
$138.41 | 31,562 | 12,043 |
|
University Of Rochester
601 Elmwood Ave |
$217.54 | 22,718 | 6,076 |
|
The Unity Hospital Of Rochester
81 Lake Ave |
$449.68 | 15,039 | 14,423 |
|
Rochester General Hospital
1425 Portland Ave |
$609.26 | 9,242 | 9,045 |
|
Rochester Rehabilitation Center, Inc
1000 Elmwood Ave |
$645.26 | 4,948 | 4,862 |
|
Satyavathy Sarakanti
81 Lake Ave |
$668.00 | 1,784 | 1,784 |
|
Villa Of Hope
3300 Dewey Ave |
$50.69 | 1,677 | 779 |
|
Michael David Simson
224 Alexander St |
$681.12 | 1,383 | 1,383 |
|
U Of R Neurology Department
601 Elmwood Ave |
$119.20 | 1,030 | 374 |
|
Robert L Weisman
601 Elmwood Ave |
$121.80 | 1,004 | 401 |
|
Dorota S Gardy
224 Alexander St 2Nd Fl - West Wing |
$618.44 | 796 | 796 |
|
The Healing Connection, Inc.
1320 University Ave |
$132.70 | 781 | 65 |
|
The Unity Hospital Of Rochester
81 Lake Ave |
$146.41 | 664 | 615 |
|
Catholic Charities Of The Diocese Rochester Inc
1099 Jay Street, Building J |
$94.44 | 540 | 226 |
|
Step By Step Pt, Ot And Slt Services, Pllc
1057 E Henrietta Rd Ste 500 |
$54.41 | 492 | 117 |
|
Catholic Charities Of The Diocese Of Rochester
79 N Clinton Ave |
$142.11 | 432 | 413 |
|
Compeer Rochester, Inc.
259 Monroe Avenue |
$101.10 | 407 | 164 |
|
Behavioral Health Network, Inc.
490 Ridge Rd E |
$108.42 | 334 | 293 |
|
Yilmaz Yildirim
300 Crittenden Blvd |
$226.59 | 278 | 177 |
|
Myra L. Mathis-Uwanogho
300 Crittenden Blvd |
$265.41 | 200 | 93 |
|
Roopa Challapalli
1425 Portland Ave |
$225.00 | 181 | 27 |
|
Douglas Joel Alexander
601 Elmwood Ave |
$123.07 | 95 | 59 |
|
Gloria J Baciewicz
300 Crittenden Blvd |
$166.78 | 90 | 43 |
|
Emily Lengen
6 Alderbrook Trail |
$67.90 | 87 | 25 |
|
Sue K Digiovanni
300 Crittenden Blvd |
$122.24 | 83 | 13 |
|
Scott Martin Laforce
556 Clinton Ave S |
$25.25 | 27 | 26 |
|
Rochester General Hospital
1425 Portland Ave |
$485.68 | 13 | 13 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Rochester, NY is $160.40 per claim, based on 282,036 claims from 29 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 Rochester, NY?
There are 29 Medicaid providers offering Behavioral & Mental Health Therapy related services in Rochester, NY according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Rochester, NY?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Rochester, NY ranges from $25.25 to $681.12 per claim, with an average of $160.40. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims