Reported therapist reimbursement rates
1089 reimbursement rates, reported by the clinicians who were paid them, by payer, state, license, and CPT code.
What Headway, Alma, Grow, Rula, SonderMind, and the payers themselves pay, by state, license, and CPT code, reported anonymously by the clinicians receiving the payments. Filter the table to your situation; every view is a link you can share.
A selection of reports is available below. Read the full table. Search, filters, and sorting require JavaScript and the rate data to load. On a phone, scroll the table sideways to read the remaining columns.
25 of 1089 reports shown. Browse the full table for every report.
| Note / source | |||||||
|---|---|---|---|---|---|---|---|
| Direct contracts | Cigna | CA | PhD/PsyD | 90791 (intake) | $286.34 | 2024-01 | submitted |
| Direct contracts | BCBS | NE | PhD/PsyD | 90837 (60 min) | $284.19 | 2025-07 | Increased from 277 last July submitted |
| Direct contracts | Cigna | CA | PhD/PsyD | 90837 (60 min) | $269.86 | 2024-01 | submitted |
| Direct contracts | Cigna | CA | PhD/PsyD | 90847 (family, with client) | $269.86 | 2024-01 | submitted |
| Direct contracts | Aetna | CA | PhD/PsyD | 90791 (intake) | $264 | 2024-01 | submitted |
| Direct contracts | Aetna | CA | PhD/PsyD | 90839 (crisis, first 60 min) | $264 | 2024-01 | submitted |
| Direct contracts | Aetna | CA | PhD/PsyD | 90837 (60 min) | $251.26 | 2024-01 | submitted |
| Direct contracts | BCBS | OR | LCSW | 90791 (intake) | $242.47 | 2026-07 | submitted |
| Direct contracts | Cigna | CA | PhD/PsyD | 90834 (45 min) | $231.75 | 2024-01 | submitted |
| Direct contracts | PacificSource | OR | PhD/PsyD | 90837 (60 min) | $229 | 2026-11 | submitted |
| Direct contracts | BCBS | IN | PhD/PsyD | 90791 (intake) | $227 | 2025-05 | submitted |
| Direct contracts | Quartz | IL | LCSW | 90791 (intake) | $222.76 | 2025-01 | submitted |
| Direct contracts | Medicaid | NM | — | 90837 (60 min) | $220 | 2025-09 | LMSW, group practice source |
| Direct contracts | BCBS | AR | PhD/PsyD | 90791 (intake) | $211.18 | 2026-10 | submitted |
| Direct contracts | BCBS | WY | LCSW | 90837 (60 min) | $210 | 2026-05 | submitted |
| Direct contracts | Carelon | CA | LMFT | 90837 (60 min) | $210 | 2026-03 | Took significant negotiation and advocacy submitted |
| Direct contracts | Aetna | CA | PhD/PsyD | 90846 (family, no client) | $208 | 2024-01 | submitted |
| Direct contracts | Cigna | CA | PhD/PsyD | 90839 (crisis, first 60 min) | $206 | 2024-01 | submitted |
| Direct contracts | Dean | IL | LCSW | 90791 (intake) | $201.52 | 2026-04 | submitted |
| Direct contracts | Medicaid | OR | LPC/LMHC | 90837 (60 min) | $201.28 | 2026-08 | Used to be 184 until billed rate raised to 220 submitted |
| Headway | Medicaid | OR | LCSW | 90837 (60 min) | $200 | 2026-08 | submitted |
| Direct contracts | Cigna | PA | LCSW | 90837 (60 min) | $200 | 2026-10 | submitted |
| Direct contracts | BCBS | AR | PhD/PsyD | 90837 (60 min) | $199.43 | 2026-10 | submitted |
| Headway | Aetna | GA | PhD/PsyD | 90837 (60 min) | $196.24 | 2024-08 | submitted |
| Direct contracts | Medicaid | CA | LCSW | 90837 (60 min) | $195 | 2025-05 | submitted |
Browse by payer, state, license, or code
By payer
- BCBS 240
- Aetna 223
- Optum / UHC 146
- Cigna 142
- Medicaid 43
- EAP 40
- Kaiser 27
- Carelon 18
- Medicare 8
- AmeriHealth 5
- Ambetter 5
- Independence Blue Cross 5
By state
- California 145
- Georgia 89
- Texas 60
- Maryland 54
- Washington 53
- New York 51
- New Jersey 46
- Oregon 44
- Massachusetts 40
- Pennsylvania 39
- Florida 36
- Colorado 34
- Illinois 30
- Virginia 30
- Wisconsin 30
- Arizona 28
- North Carolina 26
- Connecticut 23
- District of Columbia 14
- Ohio 14
- Tennessee 14
- Missouri 12
- Iowa 11
- Rhode Island 11
- Louisiana 10
- Oklahoma 10
- Alabama 9
- Indiana 9
- Minnesota 8
- New Hampshire 8
- Vermont 8
- Arkansas 7
- Kansas 5
- Kentucky 5
- South Carolina 5
- Fewer than five reports: Hawaii (4), Michigan (4), Mississippi (4), Montana (4), Nevada (4), Idaho (3), Maine (3), Nebraska (3), New Mexico (3), West Virginia (2), Delaware (1), Utah (1), Wyoming (1), Alaska (0), North Dakota (0), South Dakota (0)
By CPT code
By license
- LPC / LMHC 432
- LCSW 363
- LMFT 90
- PhD / PsyD 82
- LCPC / LPCC / LCMHC 39
- Pre-licensed 5
- MD / DO 2
- PMHNP / NP 0
By payer and code
Also platform against direct contract · what the payer allowed against what the therapist was paid · how long each payer took to pay · methodology
Example, October 2024: Optum paid a solo therapist $110.30 for a 90837 and paid Alma about $151 for the same session. The therapist on Alma received $120. Every row above is a figure like that one, with its source.
The same payer, the same code, by route
Median reported 90837 by payer and by the route the payment took, all states pooled, from every report on the site. Report counts in parentheses; red marks a route paying below that payer's direct-contract median.
Who pays best for your session?
The comparison requires JavaScript and the rate data to load. The published route comparison is available above, and you can read the full table.
Medians of community reports. A single report is a datapoint, and singleton medians are exactly that. Report counts are shown so you can weigh them.
Three things live here
- The rate tableEvery reported rate, filterable by platform, payer, state, license, and CPT. Filtered views are shareable links.
- CompaniesOwnership, funding, and a dated, sourced news timeline for 13 companies.
- Going directHow clinicians move from a platform to their own payer contracts: about 25–30 hours over roughly 3 months, drawn from documented accounts.
Browse BCBS · Aetna · Optum / UHC · Cigna · Georgia · California · Oregon · New Jersey · 90837 · 90834 · 90791 · all pages
By clinician Psychologists (PhD / PsyD) · Psychiatrists (MD / DO) · Psychiatric nurse practitioners · LCSW · LMFT · LPC / LMHC · LCPC / LPCC / LCMHC
Where the data comes from
Rates arrive two ways: anonymous submissions from clinicians, and figures collected from public discussions and press, each linked to its source. Between 2012 and 2023, private equity acquired 6.2% of US mental-health facilities (JAMA Psychiatry, 2024), and most large billing platforms are venture-funded companies whose terms change over time — the company pages track those changes as a dated, sourced news timeline. Rate data is thin in public; every submission makes the table more useful.