CPT code
What a 90791 pays
27 reported rates for CPT 90791 put the median at $120, with a range of $76 to $227. The code covers psychiatric diagnostic evaluation, the intake visit. The tables below split the same 27 reports by payer, route, and license.
Reported 90791: median $120, range $76–$227 (27 reports · August 2023 to August 2026 · updated 2026-08-23)
90791 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| Optum / UHC | $127 | $113–$143 | 6 |
| Aetna | $124 | $97–$165 | 6 |
| BCBS | $116 | $81–$227 | 5 |
| Cigna | $111 | $88–$140 | 3 |
| EAP | $100 | $80–$120 | 2 |
90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Headway | $116 | $110–$132 | 9 |
| Direct contract | $137 | $122–$227 | 7 |
| Grow Therapy | $84 | $76–$109 | 6 |
| Alma | $124 | $121–$143 | 3 |
90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $112 | $76–$131 | 16 |
| LCSW | $128 | $116–$140 | 6 |
| PhD/PsyD | $165 | $143–$227 | 3 |
90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| Georgia | $110 | $76–$124 | 14 |
| California | $139 | $124–$165 | 4 |
| New Jersey | $123 | $116–$132 | 3 |
Other codes: 90837 · 90834 · 90847 · 90846.
All 27 reports for 90791
| Route | Payer | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Grow Therapy | Aetna | GA | LPC/LMHC | $96.61 | August 2026 | submitted |
| Grow Therapy | BCBS | GA | LPC/LMHC | $81.35 | August 2026 | submitted |
| Grow Therapy | Cigna | GA | LPC/LMHC | $87.50 | August 2026 | submitted |
| Grow Therapy | Kaiser | GA | LPC/LMHC | $108.61 | August 2026 | submitted |
| Headway | Aetna | GA | LPC/LMHC | $110 | August 2026 | submitted |
| Alma | Optum / UHC | GA | LPC/LMHC | $121.24 | August 2026 | submitted |
| Alma | Carelon | GA | LPC/LMHC | $124.30 | August 2026 | submitted |
| Grow Therapy | EAP | GA | LPC/LMHC | $80 | August 2026 | submitted |
| Grow Therapy | AmeriHealth | GA | LPC/LMHC | $76.44 | August 2026 | submitted |
| Direct contract | Aetna | CA | LCSW | $123.75 | August 2026 | submitted |
| Direct contract | Optum / UHC | CA | LCSW | $137.10 | August 2026 | submitted |
| Direct contract | Cigna | CA | LCSW | $140 | August 2026 | submitted |
| Direct contract | BCBS | LA | LPC/LMHC | $121.70 | July 2026 | submitted |
| Direct contract | Optum / UHC | LA | LPC/LMHC | $131.15 | July 2026 | submitted |
| Headway | BCBS | GA | LPC/LMHC | $113 | January 2026 | submitted |
| Headway | Aetna | GA | LPC/LMHC | $124 | January 2026 | submitted |
| Headway | Cigna | GA | LPC/LMHC | $111 | January 2026 | submitted |
| Headway | Horizon BCBS NJ | GA | LPC/LMHC | $115.72 | January 2026 | submitted |
| Headway | Optum / UHC | GA | LPC/LMHC | $113 | January 2026 | submitted |
| Lyra Health | EAP | — | — | $120 | October 2025 | intake rate source |
| Direct contract | Aetna | CA | PhD/PsyD | $165 | August 2025 | submitted |
| Alma | Optum / UHC | RI | PhD/PsyD | $143.06 | July 2025 | submitted |
| SonderMind | All payers (flat) | NH | — | $84 | May 2025 | source |
| Direct contract | BCBS | IN | PhD/PsyD | $227 | May 2025 | submitted |
| Headway | BCBS | NJ | LCSW | $115.72 | August 2023 | submitted |
| Headway | Aetna | NJ | LCSW | $132.28 | August 2023 | submitted |
| Headway | Optum / UHC | NJ | LCSW | $123 | August 2023 | submitted |
Limitations
These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 26% of all reports come from Georgia, where the launch discussion reached furthest. Third, license is missing on 53 of 301 rows. Nevertheless, they are the only public per-code figures available to a therapist weighing an offer, and every added report narrows the ranges above.