Allowed amount
Reported allowed amounts and therapist payouts
76 reports include both an allowed amount and a clinician payout. Each is listed below as an unverified report. These amounts alone cannot establish a platform’s revenue or profit.
The reports
- BCBS, 90791, Octave in California. Reported allowed amount: $304. Reported clinician payout: $130. Allowed minus payout: $174. Effective month: 2026-10. Claim status: not supplied. Allowed amount cross referenced from existing data
- Unknown payer, 90837, Alma in Louisiana. Reported allowed amount: $199.93. Reported clinician payout: $100. Allowed minus payout: $99.93. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Texas. Reported allowed amount: $225. Reported clinician payout: $127.81. Allowed minus payout: $97.19. Effective month: 2026-10. Claim status: not supplied.
- Curative, 90837, Direct contract in Florida. Reported allowed amount: $175. Reported clinician payout: $108. Allowed minus payout: $67. Effective month: 2026-10. Claim status: not supplied. They are slowly reducing rates as more providers sign up in FL
- BCBS, 90837, Direct contract in Florida. Reported allowed amount: $130. Reported clinician payout: $75. Allowed minus payout: $55. Effective month: 2024-09. Claim status: not supplied.
- Aetna, 90837, Direct contract in Minnesota. Reported allowed amount: $202.88. Reported clinician payout: $157.52. Allowed minus payout: $45.36. Effective month: 2026-09. Claim status: not supplied.
- BCBS, 90837, Direct contract in Oregon. Reported allowed amount: $195. Reported clinician payout: $165. Allowed minus payout: $30. Effective month: 2026-05. Claim status: not supplied.
- Moda, 90837, Direct contract in Oregon. Reported allowed amount: $208. Reported clinician payout: $183. Allowed minus payout: $25. Effective month: 2026-05. Claim status: not supplied.
- Kaiser, 90837, Direct contract in Washington. Reported allowed amount: $140. Reported clinician payout: $116. Allowed minus payout: $24. Effective month: 2024-09. Claim status: not supplied.
- BCBS, 90834, Headway in Texas. Reported allowed amount: $80.48. Reported clinician payout: $61.28. Allowed minus payout: $19.20. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90834, Alma in Texas. Reported allowed amount: $128.93. Reported clinician payout: $109.80. Allowed minus payout: $19.13. Effective month: 2026-10. Claim status: not supplied.
- Cigna, 90837, Direct contract in Oregon. Reported allowed amount: $150. Reported clinician payout: $135. Allowed minus payout: $15. Effective month: 2026-05. Claim status: not supplied.
- University Health Alliance, 90837, Direct contract in Hawaii. Reported allowed amount: $134.53. Reported clinician payout: $122.53. Allowed minus payout: $12. Effective month: 2026-10. Claim status: not supplied. 122.53 + 12 copay
- Optum/UHC, 90837, Direct contract in New York. Reported allowed amount: $118. Reported clinician payout: $113. Allowed minus payout: $5. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Massachusetts. Reported allowed amount: $140.12. Reported clinician payout: $140.12. Allowed minus payout: $0. Effective month: 2026-09. Claim status: not supplied. This is for an independently licensed clinician as a sole proprietor in private practice (LICSW)
- Medicaid, 90837, Direct contract in Tennessee. Reported allowed amount: $60. Reported clinician payout: $60. Allowed minus payout: $0. Effective month: 2026-09. Claim status: not supplied.
- Carelon, 90837, Direct contract in California. Reported allowed amount: $120. Reported clinician payout: $120. Allowed minus payout: $0. Effective month: 2024-10. Claim status: not supplied.
- Carelon, 90834, Direct contract in California. Reported allowed amount: $95. Reported clinician payout: $95. Allowed minus payout: $0. Effective month: 2024-10. Claim status: not supplied.
- Carelon, 90837, Direct contract in California. Reported allowed amount: $210. Reported clinician payout: $210. Allowed minus payout: $0. Effective month: 2026-03. Claim status: not supplied. Took significant negotiation and advocacy
- BCBS, 90837, Headway in Tennessee. Reported allowed amount: $96. Reported clinician payout: $96. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Aetna, 90837, Headway in Tennessee. Reported allowed amount: $122. Reported clinician payout: $122. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Regence, 90837, Direct contract in Washington. Reported allowed amount: $100.91. Reported clinician payout: $100.91. Allowed minus payout: $0. Effective month: 2024-07. Claim status: not supplied. Heard they may have lowered it in 2026?
- BCBS, 90837, Direct contract in Washington. Reported allowed amount: $121. Reported clinician payout: $121. Allowed minus payout: $0. Effective month: 2024-07. Claim status: not supplied. Some report an Increase from this amount?
- First choice, 90837, Direct contract in Washington. Reported allowed amount: $126. Reported clinician payout: $126. Allowed minus payout: $0. Effective month: 2024-07. Claim status: not supplied.
- EAP, 90837, Lyra Health in Washington. Reported allowed amount: $140. Reported clinician payout: $140. Allowed minus payout: $0. Effective month: 2022-07. Claim status: not supplied. Had to negotiate, took weeks and push back. Paneled for years and asked for a raise, was denied.
- Reflect, 90837, Direct contract in Washington. Reported allowed amount: $130. Reported clinician payout: $130. Allowed minus payout: $0. Effective month: 2022-07. Claim status: not supplied. Individual: $130/Day, $150/5pm, Couples: $155/Day, $175/5pm Evening. $30 Month
- Premera, 90837, Direct contract in Washington. Reported allowed amount: $135.39. Reported clinician payout: $135.39. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- All payers (flat), 90837, Rula in Washington. Reported allowed amount: $80. Reported clinician payout: $80. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Aetna, 90837, Direct contract in Oregon. Reported allowed amount: $142.26. Reported clinician payout: $142.26. Allowed minus payout: $0. Effective month: 2026-04. Claim status: not supplied.
- BCBS, 90791, Direct contract in Oregon. Reported allowed amount: $242.47. Reported clinician payout: $242.47. Allowed minus payout: $0. Effective month: 2026-07. Claim status: not supplied.
- BCBS, 90837, Direct contract in Oregon. Reported allowed amount: $152.52. Reported clinician payout: $152.52. Allowed minus payout: $0. Effective month: 2026-07. Claim status: not supplied.
- Medicaid, 90837, Direct contract in Washington. Reported allowed amount: $122.51. Reported clinician payout: $122.51. Allowed minus payout: $0. Effective month: 2026-07. Claim status: not supplied.
- Cigna, 90837, Direct contract in Washington. Reported allowed amount: $99. Reported clinician payout: $99. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90791, Direct contract in Washington. Reported allowed amount: $180.89. Reported clinician payout: $180.89. Allowed minus payout: $0. Effective month: 2025-07. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Washington. Reported allowed amount: $159.45. Reported clinician payout: $159.45. Allowed minus payout: $0. Effective month: 2025-07. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Washington. Reported allowed amount: $140. Reported clinician payout: $140. Allowed minus payout: $0. Effective month: 2024-06. Claim status: not supplied.
- Aetna, 90837, Direct contract in Washington. Reported allowed amount: $107.01. Reported clinician payout: $107.01. Allowed minus payout: $0. Effective month: 2023-12. Claim status: not supplied. I left panel it was so low, rejoined and given same rate. They are my lowest payer
- BCBS, 90834, Headway in California. Reported allowed amount: $106.40. Reported clinician payout: $106.40. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Iowa. Reported allowed amount: $109.25. Reported clinician payout: $109.25. Allowed minus payout: $0. Effective month: 2024-01. Claim status: not supplied.
- Unknown payer, 90837, Eap Mygroup in North Carolina. Reported allowed amount: $65. Reported clinician payout: $65. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- EAP, 90837, Lyra Health in Ohio. Reported allowed amount: $120. Reported clinician payout: $120. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied. They're not adding new clinicians anymore. They have their own they use now for EAP services
- Aetna, 90837, Direct contract in Ohio. Reported allowed amount: $111.92. Reported clinician payout: $111.92. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Ohio. Reported allowed amount: $92.74. Reported clinician payout: $92.74. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied. Sometimes is reimburses at $92.75
- Cigna, 90837, Direct contract in Ohio. Reported allowed amount: $70. Reported clinician payout: $70. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied. Supposedly the renegotiate annually, but their renegotiations suck
- Optum/UHC, 90837, Direct contract in Ohio. Reported allowed amount: $110.30. Reported clinician payout: $110.30. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Medical Mutual, 90837, Direct contract in Ohio. Reported allowed amount: $114.47. Reported clinician payout: $114.47. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90791, Direct contract in Arkansas. Reported allowed amount: $211.18. Reported clinician payout: $211.18. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Arkansas. Reported allowed amount: $199.43. Reported clinician payout: $199.43. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Highmark, 90837, Direct contract in Pennsylvania. Reported allowed amount: $131.29. Reported clinician payout: $131.29. Allowed minus payout: $0. Effective month: 2026-07. Claim status: not supplied.
- Cigna, 90837, Direct contract in Pennsylvania. Reported allowed amount: $62. Reported clinician payout: $62. Allowed minus payout: $0. Effective month: 2026-01. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Pennsylvania. Reported allowed amount: $110.30. Reported clinician payout: $110.30. Allowed minus payout: $0. Effective month: 2026-01. Claim status: not supplied.
- BCBS, 90837, Direct contract in Pennsylvania. Reported allowed amount: $131.29. Reported clinician payout: $131.29. Allowed minus payout: $0. Effective month: 2026-07. Claim status: not supplied.
- Aetna, 90837, Direct contract in Pennsylvania. Reported allowed amount: $115. Reported clinician payout: $115. Allowed minus payout: $0. Effective month: 2026-01. Claim status: not supplied.
- BCBS, 90837, Direct contract in Maryland. Reported allowed amount: $112.22. Reported clinician payout: $112.22. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Maryland. Reported allowed amount: $121.33. Reported clinician payout: $121.33. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Cigna, 90837, Direct contract in Maryland. Reported allowed amount: $114.33. Reported clinician payout: $114.33. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Rhode Island. Reported allowed amount: $132.86. Reported clinician payout: $132.86. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Rhode Island. Reported allowed amount: $115.82. Reported clinician payout: $115.82. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Virginia. Reported allowed amount: $152.88. Reported clinician payout: $152.88. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied. Solo practice Eastern region Hampton Roads
- BCBS, 90837, Direct contract in Washington. Reported allowed amount: $160. Reported clinician payout: $160. Allowed minus payout: $0. Effective month: 2025-04. Claim status: not supplied.
- Medicare, 90837, Direct contract in Washington. Reported allowed amount: $150. Reported clinician payout: $150. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Connecticut. Reported allowed amount: $129.57. Reported clinician payout: $129.57. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied. Increase from 116.82
- Cigna, 90837, Direct contract in Massachusetts. Reported allowed amount: $65. Reported clinician payout: $65. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in California. Reported allowed amount: $94.50. Reported clinician payout: $94.50. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Cigna, 90837, Direct contract in Oregon. Reported allowed amount: $129. Reported clinician payout: $129. Allowed minus payout: $0. Effective month: 2016-01. Claim status: not supplied. No increase in rates since joining network.
- Aetna, 90837, Direct contract in Florida. Reported allowed amount: $102.94. Reported clinician payout: $102.94. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Florida. Reported allowed amount: $115.91. Reported clinician payout: $115.91. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Cigna, 90837, Direct contract in Florida. Reported allowed amount: $108. Reported clinician payout: $108. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Optum/UHC, 90837, Direct contract in Florida. Reported allowed amount: $110.30. Reported clinician payout: $110.30. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Medicaid, 90837, Direct contract in Florida. Reported allowed amount: $129.89. Reported clinician payout: $129.89. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- Aetna, 90837, Direct contract in Florida. Reported allowed amount: $84. Reported clinician payout: $84. Allowed minus payout: $0. Effective month: 2026-10. Claim status: not supplied.
- BCBS, 90837, Direct contract in Washington. Reported allowed amount: $112. Reported clinician payout: $112. Allowed minus payout: $0. Effective month: 2023-01. Claim status: not supplied.
- Aetna, 90837, Direct contract in Minnesota. Reported allowed amount: $157.56. Reported clinician payout: $157.56. Allowed minus payout: $0. Effective month: 2025-07. Claim status: not supplied.
- BCBS, 90837, Direct contract in Minnesota. Reported allowed amount: $182.53. Reported clinician payout: $182.53. Allowed minus payout: $0. Effective month: 2026-06. Claim status: not supplied.
- Cigna, 90837, Direct contract in Pennsylvania. Reported allowed amount: $61.97. Reported clinician payout: $62. Allowed minus payout: −$0.03. Effective month: 2026-10. Claim status: not supplied.
- Cigna, 90837, Direct contract in Pennsylvania. Reported allowed amount: $62. Reported clinician payout: $200. Allowed minus payout: −$138. Effective month: 2026-10. Claim status: not supplied.
The median of allowed amount minus clinician payout is $0 across all 76 reports shown, including zero and negative differences. This pooled arithmetic comparison mixes payers, routes, dates, and claim circumstances; it does not estimate a platform share.
What the amounts mean
- Billed charge
- The amount requested on the claim.
- Allowed amount
- The amount recognized for the covered service under the plan; patient cost sharing can be part of it.
- Plan payment
- The insurer’s portion of payment.
- Patient responsibility
- The portion assigned to the patient after processing. The EOB alone does not establish that it was collected.
- Clinician payout
- The amount the therapist reports receiving.
- Claim status
- Whether the claim is pending, rejected, denied, or processed. The status and any later adjustment matter when interpreting an amount.
The CMS EOB guide distinguishes charges, allowed charges, insurer payment, and patient balance. The CMS glossary explains allowed amounts and cost sharing. Sources checked September 9, 2026.
Adding an allowed amount
Use the line labeled allowed amount on the EOB or remittance for the same session as your payout. Leave it blank if you can see only a billed charge, plan payment, or platform deposit. Keep patient names, claim numbers, and other patient information out of the form.
Correction: September 9, 2026
An earlier version labeled a reported $220 Headway/BCBS billed charge as an allowed amount and inferred a $110 platform share from a $110 clinician payout. The stored source note described a later denial. The allowed amount is now marked unknown, and that report is excluded here. The $110 reported payout and the original source note remain in the rate table. The report does not establish how much the platform collected.
Every report is self-reported and unverified. Reports with a stated pending, rejected, or denied status are excluded from this comparison. Missing status, collection details, or later adjustments limit what the remaining figures can tell us. The form began collecting allowed amounts on August 29, 2026.