CPT code
What a 90834 pays
87 reported rates for CPT 90834 put the median at $80, with a range of $30 to $170. The code covers individual psychotherapy, 38 to 52 minutes. The tables below split the same 87 reports by payer, route, and license.
Reported 90834: median $80, range $30–$170, middle half $64–$100, about 94% of the 2026 national Medicare reference for a master's-level clinician (87 reports · January 2022 to October 2026 · updated 2026-10-06)
What 90834 is
- Session time
- 38 to 52 minutes of face-to-face psychotherapy. A session of 53 minutes or longer is billed as 90837, and CMS instructs that psychotherapy under 16 minutes is not reported at all.
- What it covers
- Individual psychotherapy with the patient. Family members may be present.
- 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.
90834 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| Aetna | $100 | $61–$161 | 18 |
| BCBS | $83 | $46–$135 | 13 |
| Cigna | $76 | $58–$86 | 12 |
| Optum / UHC | $79 | $60–$110 | 11 |
| EAP | $87 | $58–$170 | 5 |
| All payers (flat) | $60 | $49–$80 | 4 |
| Medicaid | $90 | $70–$90 | 3 |
| Carelon | $81 | $67–$95 | 2 |
| Kaiser | $62 | $58–$65 | 2 |
90834 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Headway | $77 | $55–$161 | 27 |
| Direct contract | $87 | $60–$135 | 21 |
| Alma | $101 | $86–$110 | 13 |
| Grow Therapy | $61 | $46–$65 | 13 |
| Lyra Health | $130 | $120–$170 | 4 |
| Rula | $72 | $65–$80 | 2 |
| Tava Health | $59 | $58–$60 | 2 |
| Amwell | $52 | $50–$55 | 2 |
90834 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $65 | $46–$103 | 35 |
| LCSW | $92 | $61–$170 | 31 |
| LMFT | $95 | $58–$130 | 9 |
| PhD/PsyD | $114 | $80–$161 | 6 |
90834 by state
| State | Median | Range | Reports |
|---|---|---|---|
| California | $86 | $58–$170 | 24 |
| Georgia | $69 | $46–$101 | 14 |
| New Jersey | $83 | $74–$103 | 8 |
| Texas | $94 | $61–$110 | 6 |
| Maryland | $62 | $54–$64 | 6 |
| Massachusetts | $107 | $91–$135 | 5 |
| New York | $83 | $67–$161 | 5 |
| Oklahoma | $64 | $55–$95 | 3 |
Other codes: 90837 · 90791 · 90847 · 90846.
All 87 reports for 90834
| Route | Payer | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Headway | Aetna | NJ | LCSW | $103 | October 2026 | submitted |
| Headway | BCBS | TX | LCSW | $61.28 | October 2026 | submitted |
| Alma | Optum / UHC | TX | LCSW | $109.80 | October 2026 | submitted |
| Alma | Aetna | TX | LCSW | $101 | October 2026 | submitted |
| Alma | Cigna | TX | LCSW | $86 | October 2026 | submitted |
| Alma | Cigna | WI | PhD/PsyD | $86 | October 2026 | submitted |
| Headway | BCBS | CA | LMFT | $106.40 | October 2026 | submitted |
| Headway | Cigna | CA | LMFT | $76 | October 2026 | submitted |
| Lyra Health | — | OR | LCSW | $140 | September 2026 | submitted |
| Direct contract | Cigna | WI | LPC/LMHC | $60 | September 2026 | submitted |
| Grow Therapy | Aetna | GA | LPC/LMHC | $61.43 | August 2026 | submitted |
| Grow Therapy | BCBS | GA | LPC/LMHC | $45.60 | August 2026 | submitted |
| Grow Therapy | Cigna | GA | LPC/LMHC | $62.30 | August 2026 | submitted |
| Alma | Aetna | MN | LCSW | $101 | August 2026 | Cut from 116.80 submitted |
| Grow Therapy | Kaiser | GA | LPC/LMHC | $65.13 | August 2026 | submitted |
| Alma | Aetna | GA | LPC/LMHC | $101 | August 2026 | submitted |
| Alma | Optum / UHC | GA | LPC/LMHC | $87 | August 2026 | submitted |
| Alma | EAP | GA | LPC/LMHC | $87 | August 2026 | submitted |
| Grow Therapy | EAP | GA | LPC/LMHC | $57.60 | August 2026 | submitted |
| Grow Therapy | AmeriHealth | GA | LPC/LMHC | $54.98 | August 2026 | submitted |
| Direct contract | Aetna | CA | LCSW | $82.50 | August 2026 | submitted |
| Direct contract | Optum / UHC | CA | LCSW | $78.73 | August 2026 | submitted |
| Direct contract | Cigna | CA | LCSW | $80 | August 2026 | submitted |
| Direct contract | Medicaid | CA | LMFT | $89.64 | August 2026 | submitted |
| Amwell | — | KY | LPC/LMHC | $50 | August 2026 | submitted |
| Headway | BCBS | NY | LPC/LMHC | $83 | August 2026 | submitted |
| Alma | Aetna | MA | LCSW | $110 | August 2026 | Cut from $118 or $126 last month submitted |
| Headway | Aetna | OK | LPC/LMHC | $95 | August 2026 | submitted |
| Headway | BCBS | OK | LPC/LMHC | $55.13 | August 2026 | submitted |
| Headway | BCBS | OK | LPC/LMHC | $64.15 | August 2026 | submitted |
| Grow Therapy | Aetna | FL | LPC/LMHC | $61.43 | August 2026 | submitted |
| Alma | EAP | TX | LPC/LMHC | $87 | August 2026 | No 90837 available. submitted |
| Direct contract | Aetna | CT | LPC/LMHC | $83.18 | August 2026 | submitted |
| Direct contract | Medicaid | CT | LPC/LMHC | $70.48 | August 2026 | submitted |
| Grow Therapy | VA Community Care Network | MD | LPC/LMHC | $54.09 | August 2026 | submitted |
| Grow Therapy | Optum / UHC | MD | LPC/LMHC | $64.30 | August 2026 | submitted |
| Grow Therapy | Kaiser | MD | LPC/LMHC | $58 | August 2026 | submitted |
| Grow Therapy | GTEB | MD | LPC/LMHC | $62.30 | August 2026 | submitted |
| Grow Therapy | Cigna | MD | LPC/LMHC | $62.30 | August 2026 | submitted |
| Grow Therapy | Carefirst | MD | LPC/LMHC | $61.92 | August 2026 | submitted |
| Lyra Health | EAP | CA | LCSW | $170 | August 2026 | I was grandfathered into a higher rate- they deny rate increases, and repeatedly dont show me on the Lyra provider page submitted |
| Direct contract | Cigna | TN | Pre-licensed | $68 | August 2026 | submitted |
| BetterHelp | Self-pay (platform) | — | — | $30 | May 2026 | Effective per-session pay. Stepped hourly ladder starts near $30/hr and caps at $70/hr; sessions pay for 45 minutes; no-shows pay $10. source |
| Headway | Aetna | CO | — | $95 | May 2026 | source |
| Headway | Providence Health Plan | CA | LCSW | $91.69 | May 2026 | submitted |
| Direct contract | Dean | IL | LCSW | $118.01 | April 2026 | submitted |
| Direct contract | Carelon | NY | LPC/LMHC | $67 | April 2026 | submitted |
| Headway | BCBS | GA | LPC/LMHC | $61 | January 2026 | submitted |
| Headway | Cigna | GA | LPC/LMHC | $77 | January 2026 | submitted |
| Headway | Horizon BCBS NJ | GA | LPC/LMHC | $74 | January 2026 | submitted |
| Headway | Independence Blue Cross | GA | LPC/LMHC | $73.20 | January 2026 | submitted |
| Headway | Optum / UHC | GA | LPC/LMHC | $75 | January 2026 | submitted |
| Tava Health | Cigna | CA | LMFT | $58 | January 2026 | submitted |
| Tava Health | Optum / UHC | CA | LMFT | $60 | January 2026 | submitted |
| Amwell | All payers (flat) | AZ | — | $55 | November 2025 | flat per session, 1099 source |
| Direct contract | Medicaid | CA | — | $90 | October 2025 | Medi-Cal source |
| Headway | Aetna | TX | LPC/LMHC | $103 | October 2025 | submitted |
| Direct contract | BCBS | MA | PhD/PsyD | $135.19 | September 2025 | submitted |
| Direct contract | BCBS | MA | LCSW | $101.98 | September 2025 | submitted |
| Direct contract | Aetna | CA | PhD/PsyD | $120 | August 2025 | submitted |
| Alma | Optum / UHC | MA | LCSW | $107 | August 2025 | Cut from $118 or so in the last year submitted |
| Alma | Optum / UHC | RI | PhD/PsyD | $108.35 | July 2025 | submitted |
| Direct contract | BCBS | IL | LCSW | $107.81 | June 2025 | submitted |
| SonderMind | All payers (flat) | NH | — | $49 | May 2025 | source |
| Octave | — | CA | LMFT | $130 | April 2025 | submitted |
| Rula | All payers (flat) | CA | LCSW | $65 | December 2024 | submitted |
| Direct contract | Carelon | CA | LMFT | $95 | October 2024 | submitted |
| Headway | Aetna | NY | PhD/PsyD | $161 | August 2024 | submitted |
| Alma | BCBS | MA | LCSW | $91 | August 2024 | *licensure in MA is LICSW submitted |
| Headway | Magellan | CA | LCSW | $70.50 | July 2024 | submitted |
| Direct contract | BCBS | NJ | LPC/LMHC | $91.54 | July 2024 | submitted |
| Rula | All payers (flat) | CA | PhD/PsyD | $80 | July 2024 | submitted |
| Direct contract | Healthfirst | NY | LCSW | $75 | June 2024 | submitted |
| Headway | Anthem Blue Cross | CA | LCSW | $100 | January 2024 | submitted |
| Direct contract | Aetna | NJ | LPC/LMHC | $86.92 | November 2023 | submitted |
| Headway | Aetna | NJ | LCSW | $103 | August 2023 | submitted |
| Headway | BCBS | NJ | LCSW | $74 | August 2023 | submitted |
| Headway | Optum / UHC | NJ | LCSW | $80 | August 2023 | submitted |
| Headway | Cigna | NJ | LCSW | $77 | August 2023 | submitted |
| Headway | Blue Shield of California | CA | LCSW | $81 | July 2023 | submitted |
| Direct contract | Optum / UHC | NJ | LPC/LMHC | $78.73 | July 2023 | submitted |
| Direct contract | Aetna | NY | LCSW | $95.06 | January 2023 | submitted |
| Headway | Aetna | CA | LCSW | $99 | January 2023 | submitted |
| Headway | Cigna | CA | LCSW | $76 | January 2023 | submitted |
| Headway | Optum / UHC | CA | LCSW | $73 | January 2023 | submitted |
| Lyra Health | EAP | CA | LMFT | $120 | January 2022 | submitted |
| Lyra Health | — | CA | LMFT | $120 | January 2022 | 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.