Average Medicaid Behavioral & Mental Health Therapy Payments in Waterloo, IA: $100.02
Avg. Paid
$100.02
Range
$31.72 – $299.35
Total Claims
178,626
Providers
12
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Billie Joel Rael
905 Franklin St |
$40.22 | 38 | 29 |
|
Michelle Lee Mcpoland
2530 University Ave Ste 1 |
$31.72 | 63 | 42 |
|
Pathways Behavioral Services Inc
3362 University Ave |
$117.18 | 100 | 57 |
|
Resilience Counseling Agency Inc.
518 Western Ave |
$85.51 | 372 | 68 |
|
Elevate Housing Foundation
405 E 5Th St |
$62.01 | 420 | 226 |
|
Hope Tree Counseling Services Inc.
1420 W Donald St |
$69.06 | 584 | 229 |
|
Bethea Elizabeth Loeb
3136 Brockway Rd |
$85.88 | 4,543 | 883 |
|
Seeds For Growth
1125 W 4Th St |
$113.60 | 5,864 | 988 |
|
Black Hawk-Grundy Mental Health Center Inc.
3251 W 9Th St |
$299.35 | 11,302 | 10,386 |
|
New Directions Counseling Services, Pllc.
1310 Solar Drive |
$84.61 | 12,927 | 2,543 |
|
Bakari Behavioral Health Inc.
515 Beech St |
$107.63 | 34,587 | 6,067 |
|
Families First Counseling Services Of Iowa, L.L.C.
111 Plaza Cir |
$78.80 | 107,826 | 21,946 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Behavioral & Mental Health Therapy in Waterloo, IA is $100.02 per claim, based on 178,626 claims from 12 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 Waterloo, IA?
There are 12 Medicaid providers offering Behavioral & Mental Health Therapy related services in Waterloo, IA according to public payment data.
What is the price range for Behavioral & Mental Health Therapy in Waterloo, IA?
Medicaid reimbursement for Behavioral & Mental Health Therapy in Waterloo, IA ranges from $31.72 to $299.35 per claim, with an average of $100.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Behavioral & Mental Health Therapy in Other Cities
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Avg $86.63
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Avg $96.96
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Avg $95.38
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Avg $95.61
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Other Procedures in Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims
Personal Care Services
Avg $322.89
97,883 claims