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CPT code

What a 90791 pays

63 reported rates for CPT 90791 put the median at $122, with a range of $76 to $242. The code covers psychiatric diagnostic evaluation, the intake visit. The tables below split the same 63 reports by payer, route, and license.

Reported 90791: median $122, range $76–$242, middle half $101–$139, about 94% of the 2026 national Medicare reference for a master's-level clinician (63 reports · January 2023 to August 2026 · updated 2026-10-06)

What 90791 is

Session time
No time range applies. CPT writes 90791 as an untimed evaluation, and the CMS article that sets time ranges for 90832, 90834, and 90837 publishes none for 90791. How often it can be repeated is set by each payer.
What it covers
The psychiatric diagnostic evaluation, meaning the intake visit, without medical services.
Who bills it
LCSWs, LPCs, LMFTs, psychologists, psychiatrists, and psychiatric nurse practitioners, subject to each payer's credentialing and scope rules.

Time rules above are quoted from the CMS billing and coding article A57520. Rate figures on this page are self-reported by therapists and are a separate thing from what a payer is obliged to allow.

90791 by payer

PayerMedianRangeReports
Aetna$125$97–$17314
BCBS$123$81–$24214
Optum / UHC$131$101–$18111
Cigna$106$88–$1486
EAP$100$80–$1202
Kaiser$98$88–$1092
All payers (flat)$87$84–$902

90791 by route

RouteMedianRangeReports
Direct contract$148$113–$24225
Grow Therapy$88$76–$10915
Headway$116$96–$13214
Alma$125$121–$1434
Tava Health$103$101–$1052
SonderMind$87$84–$902

90791 by license

LicenseMedianRangeReports
LPC/LMHC$113$76–$18837
LCSW$136$90–$24217
PhD/PsyD$169$143–$2274
LMFT$103$101–$1052

90791 by state

StateMedianRangeReports
Georgia$110$76–$12414
New Jersey$132$116–$1737
Maryland$88$87–$1017
California$130$101–$1656
New York$124$113–$1365
Connecticut$147$132–$1574
Illinois$202$187–$2233
Oklahoma$112$96–$1243
Florida$97$76–$1033

Other codes: 90837 · 90834 · 90847 · 90846.

All 63 reports for 90791

RoutePayerStLicenseRateEffectiveNote / source
Grow TherapyAetnaGALPC/LMHC$96.61August 2026submitted
Grow TherapyBCBSGALPC/LMHC$81.35August 2026submitted
Grow TherapyCignaGALPC/LMHC$87.50August 2026submitted
Grow TherapyKaiserGALPC/LMHC$108.61August 2026submitted
HeadwayAetnaGALPC/LMHC$110August 2026submitted
AlmaOptum / UHCGALPC/LMHC$121.24August 2026submitted
AlmaCarelonGALPC/LMHC$124.30August 2026submitted
Grow TherapyEAPGALPC/LMHC$80August 2026submitted
Grow TherapyAmeriHealthGALPC/LMHC$76.44August 2026submitted
Direct contractAetnaCALCSW$123.75August 2026submitted
Direct contractOptum / UHCCALCSW$137.10August 2026submitted
Direct contractCignaCALCSW$140August 2026submitted
AlmaAetnaMALPC/LMHC$126August 2026submitted
HeadwayBCBSNYLPC/LMHC$125August 2026submitted
HeadwayAetnaOKLPC/LMHC$124August 2026submitted
HeadwayBCBSOKLPC/LMHC$96.25August 2026submitted
HeadwayBCBSOKLPC/LMHC$111.99August 2026submitted
Grow TherapyAetnaFLLPC/LMHC$96.61August 2026Unsure of how long this has been in effect submitted
Grow TherapyAmbetterFLLPC/LMHC$103.26August 2026submitted
Grow TherapyAmerihealth AdministratorsFLLPC/LMHC$76.44August 2026submitted
Direct contractAetnaCTLPC/LMHC$145.66August 2026submitted
Direct contractBCBSCTLPC/LMHC$132.30August 2026submitted
Direct contractCignaCTLPC/LMHC$148August 2026submitted
Direct contractOptum / UHCCTLPC/LMHC$156.57August 2026submitted
Grow TherapyVA Community Care NetworkMDLPC/LMHC$86.66August 2026submitted
Grow TherapyOptum / UHCMDLCPC/LPCC/LCMHC$101.06August 2026submitted
Grow TherapyKaiserMDLPC/LMHC$88.39August 2026submitted
Grow TherapyGTEBMDLPC/LMHC$87.50August 2026submitted
Grow TherapyCignaMDLPC/LMHC$87.50August 2026submitted
Grow TherapyCarefirstMDLPC/LMHC$98.92August 2026submitted
Direct contractBCBSLALPC/LMHC$121.70July 2026submitted
Direct contractOptum / UHCLALPC/LMHC$131.15July 2026submitted
Direct contractBCBSORLCSW$242.47July 2026submitted
Direct contractBCBSIALPC/LMHC$187.70July 2026submitted
HeadwayAetnaNJLPC/LMHC$132June 2026submitted
Direct contractAetnaNJPhD/PsyD$172.58May 2026submitted
Direct contractDeanILLCSW$201.52April 2026submitted
Direct contractBCBSNYLCSW$116.02March 2026submitted
Direct contractMVPNYLCSW$136.49February 2026submitted
HeadwayBCBSGALPC/LMHC$113January 2026submitted
HeadwayAetnaGALPC/LMHC$124January 2026submitted
HeadwayCignaGALPC/LMHC$111January 2026submitted
HeadwayHorizon BCBS NJGALPC/LMHC$115.72January 2026submitted
HeadwayOptum / UHCGALPC/LMHC$113January 2026submitted
Tava HealthCignaCALMFT$101January 2026submitted
Tava HealthOptum / UHCCALMFT$105January 2026submitted
Direct contractBCBSMALCSW$152.30January 2026submitted
Lyra HealthEAP——$120October 2025intake rate source
Direct contractAetnaCAPhD/PsyD$165August 2025submitted
AlmaOptum / UHCRIPhD/PsyD$143.06July 2025submitted
Direct contractOptum / UHCWALCSW$180.89July 2025submitted
Direct contractBCBSILLCSW$187.08June 2025submitted
SonderMindAll payers (flat)NH—$84May 2025source
Direct contractBCBSINPhD/PsyD$227May 2025submitted
Direct contractQuartzILLCSW$222.76January 2025submitted
SonderMindAll payers (flat)MDLCSW$90October 2024submitted
Direct contractHealthfirstNYLCSW$113June 2024submitted
Direct contractAetnaNJLPC/LMHC$152.33November 2023submitted
HeadwayBCBSNJLCSW$115.72August 2023submitted
HeadwayAetnaNJLCSW$132.28August 2023submitted
HeadwayOptum / UHCNJLCSW$123August 2023submitted
Direct contractOptum / UHCNJLPC/LMHC$137.70July 2023submitted
Direct contractAetnaNYLCSW$124.32January 2023submitted

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One report a month, one more if a payer cuts the code. Never displayed, sold, or shared.

Limitations

These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 14% of all reports come from California. Third, license is missing on 66 of 789 rows. These per-code reports describe this sample; additional reports can change the median and widen the range. How this data is collected and checked.