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
| Payer | Median | Range | Reports |
|---|---|---|---|
| Aetna | $125 | $97–$173 | 14 |
| BCBS | $123 | $81–$242 | 14 |
| Optum / UHC | $131 | $101–$181 | 11 |
| Cigna | $106 | $88–$148 | 6 |
| EAP | $100 | $80–$120 | 2 |
| Kaiser | $98 | $88–$109 | 2 |
| All payers (flat) | $87 | $84–$90 | 2 |
90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $148 | $113–$242 | 25 |
| Grow Therapy | $88 | $76–$109 | 15 |
| Headway | $116 | $96–$132 | 14 |
| Alma | $125 | $121–$143 | 4 |
| Tava Health | $103 | $101–$105 | 2 |
| SonderMind | $87 | $84–$90 | 2 |
90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $113 | $76–$188 | 37 |
| LCSW | $136 | $90–$242 | 17 |
| PhD/PsyD | $169 | $143–$227 | 4 |
| LMFT | $103 | $101–$105 | 2 |
90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| Georgia | $110 | $76–$124 | 14 |
| New Jersey | $132 | $116–$173 | 7 |
| Maryland | $88 | $87–$101 | 7 |
| California | $130 | $101–$165 | 6 |
| New York | $124 | $113–$136 | 5 |
| Connecticut | $147 | $132–$157 | 4 |
| Illinois | $202 | $187–$223 | 3 |
| Oklahoma | $112 | $96–$124 | 3 |
| Florida | $97 | $76–$103 | 3 |
Other codes: 90837 · 90834 · 90847 · 90846.
All 63 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 |
| Alma | Aetna | MA | LPC/LMHC | $126 | August 2026 | submitted |
| Headway | BCBS | NY | LPC/LMHC | $125 | August 2026 | submitted |
| Headway | Aetna | OK | LPC/LMHC | $124 | August 2026 | submitted |
| Headway | BCBS | OK | LPC/LMHC | $96.25 | August 2026 | submitted |
| Headway | BCBS | OK | LPC/LMHC | $111.99 | August 2026 | submitted |
| Grow Therapy | Aetna | FL | LPC/LMHC | $96.61 | August 2026 | Unsure of how long this has been in effect submitted |
| Grow Therapy | Ambetter | FL | LPC/LMHC | $103.26 | August 2026 | submitted |
| Grow Therapy | Amerihealth Administrators | FL | LPC/LMHC | $76.44 | August 2026 | submitted |
| Direct contract | Aetna | CT | LPC/LMHC | $145.66 | August 2026 | submitted |
| Direct contract | BCBS | CT | LPC/LMHC | $132.30 | August 2026 | submitted |
| Direct contract | Cigna | CT | LPC/LMHC | $148 | August 2026 | submitted |
| Direct contract | Optum / UHC | CT | LPC/LMHC | $156.57 | August 2026 | submitted |
| Grow Therapy | VA Community Care Network | MD | LPC/LMHC | $86.66 | August 2026 | submitted |
| Grow Therapy | Optum / UHC | MD | LCPC/LPCC/LCMHC | $101.06 | August 2026 | submitted |
| Grow Therapy | Kaiser | MD | LPC/LMHC | $88.39 | August 2026 | submitted |
| Grow Therapy | GTEB | MD | LPC/LMHC | $87.50 | August 2026 | submitted |
| Grow Therapy | Cigna | MD | LPC/LMHC | $87.50 | August 2026 | submitted |
| Grow Therapy | Carefirst | MD | LPC/LMHC | $98.92 | 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 |
| Direct contract | BCBS | OR | LCSW | $242.47 | July 2026 | submitted |
| Direct contract | BCBS | IA | LPC/LMHC | $187.70 | July 2026 | submitted |
| Headway | Aetna | NJ | LPC/LMHC | $132 | June 2026 | submitted |
| Direct contract | Aetna | NJ | PhD/PsyD | $172.58 | May 2026 | submitted |
| Direct contract | Dean | IL | LCSW | $201.52 | April 2026 | submitted |
| Direct contract | BCBS | NY | LCSW | $116.02 | March 2026 | submitted |
| Direct contract | MVP | NY | LCSW | $136.49 | February 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 |
| Tava Health | Cigna | CA | LMFT | $101 | January 2026 | submitted |
| Tava Health | Optum / UHC | CA | LMFT | $105 | January 2026 | submitted |
| Direct contract | BCBS | MA | LCSW | $152.30 | 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 |
| Direct contract | Optum / UHC | WA | LCSW | $180.89 | July 2025 | submitted |
| Direct contract | BCBS | IL | LCSW | $187.08 | June 2025 | submitted |
| SonderMind | All payers (flat) | NH | — | $84 | May 2025 | source |
| Direct contract | BCBS | IN | PhD/PsyD | $227 | May 2025 | submitted |
| Direct contract | Quartz | IL | LCSW | $222.76 | January 2025 | submitted |
| SonderMind | All payers (flat) | MD | LCSW | $90 | October 2024 | submitted |
| Direct contract | Healthfirst | NY | LCSW | $113 | June 2024 | submitted |
| Direct contract | Aetna | NJ | LPC/LMHC | $152.33 | November 2023 | 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 |
| Direct contract | Optum / UHC | NJ | LPC/LMHC | $137.70 | July 2023 | submitted |
| Direct contract | Aetna | NY | LCSW | $124.32 | January 2023 | submitted |
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.