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CPT code

What a 90837 pays

202 reported rates for CPT 90837 put the median at $114, with a range of $39 to $284. The code covers individual psychotherapy, 53 minutes or longer. The tables below split the same 202 reports by payer, route, and license.

Reported 90837: median $114, range $39–$284 (202 reports · September 2013 to August 2026 · updated 2026-08-23)

90837 by payer

PayerMedianRangeReports
BCBS$120$69–$28447
Aetna$121$95–$18533
Optum / UHC$116$88–$19032
Cigna$97$39–$12823
Medicaid$124$81–$22016
All payers (flat)$80$70–$909
Kaiser$116$96–$1676
EAP$92$80–$1156
Medicare$121$77–$1543
Ambetter$109$103–$1152
Independence Blue Cross$95$95–$952
AmeriHealth$67$64–$702

90837 by route

RouteMedianRangeReports
Direct contract$121$39–$284103
Headway$119$89–$18545
Alma$114$95–$13016
Grow Therapy$88$64–$11715
Rula$85$70–$908
Spring Health$100$85–$1207
Lyra Health$92$85–$1002

90837 by license

LicenseMedianRangeReports
LPC/LMHC$110$62–$20185
LCSW$117$88–$21058
PhD/PsyD$138$90–$2849
LMFT$113$90–$1858

90837 by state

StateMedianRangeReports
California$113$88–$17524
Georgia$95$64–$12521
Oregon$153$77–$20116
Texas$112$92–$13011
Wisconsin$121$85–$1329
Colorado$113$65–$1309
North Carolina$109$62–$1388
Arizona$108$39–$1508
Maryland$118$89–$1317
Illinois$130$100–$1916
Virginia$115$74–$1716
New Jersey$115$95–$1306
Washington$121$80–$1595
Florida$103$68–$1215
Connecticut$116$105–$1324
Kansas$116$112–$1224
Tennessee$116$99–$1364
Nebraska$185$108–$2843
Michigan$137$81–$1643
District of Columbia$115$110–$1283
Mississippi$105$95–$1803
Indiana$100$70–$1213

Other codes: 90834 · 90791 · 90847 · 90846.

All 203 reports for 90837

RoutePayerStLicenseRateEffectiveNote / source
RulaAll payers (flat)GALPC/LMHC$80August 2026submitted
AlmaAetnaCALCSW$112August 2026Cut from $129 in July submitted
HeadwayAetnaKSLCSW$122August 2026submitted
HeadwayBCBSKSLCSW$117August 2026submitted
Direct contractAetnaKSLCSW$112August 2026submitted
Direct contractMedicaidKSLCSW$115August 2026submitted
HeadwayAetnaMDLCSW$121.74August 2026submitted
HeadwayBCBSMDLCSW$119.07August 2026submitted
HeadwayCignaMDLCSW$89August 2026submitted
HeadwayKaiserMDLCSW$130.96August 2026submitted
HeadwayOptum / UHCMDLCSW$117.73August 2026submitted
Grow TherapyAetnaGALPC/LMHC$95.41August 2026submitted
HeadwayBCBSORLCSW$120August 2026submitted
Grow TherapyBCBSGALPC/LMHC$71.91August 2026submitted
Grow TherapyCignaGALPC/LMHC$73.50August 2026submitted
Direct contractMedicaidORLPC/LMHC$201.28August 2026Used to be 184 until billed rate raised to 220 submitted
Direct contractBCBSORLPC/LMHC$152.58August 2026submitted
Direct contractProvidenceORLPC/LMHC$160.58August 2026submitted
Direct contractMedicareORLPC/LMHC$77August 2026submitted
Direct contractCignaORLPC/LMHC$98August 2026submitted
Direct contractBCBSMTLCSW$156.19August 2026submitted
Grow TherapyKaiserGALPC/LMHC$96.02August 2026submitted
AlmaAetnaGALPC/LMHC$110August 2026submitted
Direct contractKaiserORLPC/LMHC$165August 2026submitted
Grow TherapyEAPGALPC/LMHC$80August 2026submitted
Grow TherapyAmeriHealthGALPC/LMHC$64August 2026submitted
Grow TherapyAmeriHealthGALPC/LMHC$70August 2026submitted
Marvin—NJPhD/PsyD$95August 2026submitted
Direct contractAetnaCALCSW$112.96August 2026submitted
Direct contractOptum / UHCCALCSW$115.82August 2026submitted
Direct contractCignaCALCSW$88August 2026submitted
RulaAll payers (flat)WALPC/LMHC$80August 2026submitted
AlmaAetna—PhD/PsyDcutJuly 2026RATE CUT, amount varies by contract: effective July 15, 2026, Alma pays 90837 at 90834 rates and doctoral-level clinicians at master's level. Community estimates put the reduction at 30-40%. Directly-paneled Aetna therapists report no change. source
Direct contractOptum / UHCWILPC/LMHC$120.96July 2026submitted
Direct contractBCBSLALPC/LMHC$104.69July 2026submitted
Direct contractBCBSMILPC/LMHC$163.56July 2026submitted
Direct contractBCBSORLPC/LMHC$150July 2026submitted
Lyra HealthEAPINLCSW$100June 2026Virtual rate submitted
Direct contractCignaAZ—$39May 2026lowest Cigna rate reported in the thread source
Collective Counseling SolutionsCigna——$110May 2026contracted via Collective Counseling Solutions source
Direct contractMedicaidCO—$130May 2026source
AlmaAetna—LCSW$130May 2026therapist payout ~$130 including $25 copay; EOB showed Aetna paid Alma $122.19 source
HeadwayAetnaCO—$121.74May 2026most other plans pay $95-98 for 90837 via Headway in CO per poster source
Direct contractAetnaORLPC/LMHC$142.67May 2026submitted
Direct contractBCBSILLCSW$131.48May 2026submitted
Direct contractCignaILLCSW$100May 2026submitted
Direct contractBCBSWYLCSW$210May 2026submitted
Spring HealthEAP——$85March 2026Multiple clinicians report $75-85 unchanged since 2021. source
Spring HealthEAPSCLPC/LMHC$100March 2026$130 in-person, $100 virtual, with paid no-shows; rates appear state- and license-dependent. source
RulaAll payers (flat)GALPC/LMHC$80March 2026submitted
Direct contract—TXLPC/LMHC$112March 2026submitted
Direct contractOptum / UHCORLPC/LMHC$190March 2026submitted
Direct contractCignaFLLPC/LMHC$68February 2026No request for increase until 1 year of current rate. submitted
HeadwayAetnaNYPhD/PsyD$185January 2026NYC, virtual only source
Direct contractMedicaidMI—$81.28January 2026Meridian Medicaid, group; below state Medicaid minimum per poster source
HeadwayBCBSMDLCSW$109January 2026Down from 115 in 2025 submitted
Spring Health—WILPC/LMHC$85January 2026submitted
Direct contractBCBSMTLPC/LMHC$156.19January 2026submitted
Direct contractBCBSNCLPC/LMHC$138January 2026submitted
Direct contractCignaNCLPC/LMHC$62January 2026submitted
HeadwayBCBSGALPC/LMHC$93January 2026submitted
Direct contractAetnaCALMFT$112.96January 2026submitted
Direct contractMedicareINLCSW$120.84January 2026submitted
Talkspace—INLPC/LMHC$70January 2026submitted
Direct contract—ILLCSW$133.67January 2026submitted
Direct contract—TXLPC/LMHC$104.75January 2026Increased from 94.75 submitted
HeadwayAetnaGALPC/LMHC$121January 2026submitted
HeadwayCignaGALPC/LMHC$102January 2026submitted
HeadwayIndependence Blue CrossGALPC/LMHC$95January 2026submitted
HeadwayOptum / UHCGALPC/LMHC$112January 2026submitted
Direct contractMedicaidCTLCSW$105January 2026submitted
RulaAll payers (flat)CAPhD/PsyD$90December 2025Rula pays a flat per-session rate regardless of payer. source
RulaAll payers (flat)GA—$70December 2025Rula pays a flat per-session rate regardless of payer. source
Direct contractBCBSVA—$150December 2025Anthem, independent contract, masters level, rounded source
Direct contractTricareVA—$74December 2025independent contract, masters level, rounded source
Direct contractOptum / UHCWALCSW$159December 2025United/Optum, group practice, western WA; group Cigna $117 source
AlmaOptum / UHCMNLCSW$116.80December 2025submitted
Direct contractMedicaidSC—$117.43November 2025SC Medicaid published rate per poster source
Direct contractMedicaidCA—$175November 2025Alameda County Medi-Cal, 53-minute session source
Direct contractMedicaidCA—$131.97October 2025Medi-Cal, most payors source
Direct contractMedicaidCA—$171October 2025one CA county's Medi-Cal rate source
Direct contractMedicaidCA—$99.98October 2025Medi-Cal via Health Net source
Direct contractAetnaAZPhD/PsyD$137.75October 2025decreased $2 on 2025-10-15; BCBS AZ $122.03 source
Spring Health—PALPC/LMHC$85October 2025$85 per Telehealth session 90837, $110 per in person submitted
Direct contractAmbetterNCLPC/LMHC$103October 2025submitted
Direct contractAetnaVALCSW$101.35October 2025submitted
Direct contractBCBSVALCSW$170.99October 2025submitted
Direct contractBCBSVALCSW$113.40October 2025submitted
HeadwayAetnaTXLPC/LMHC$129.74October 2025submitted
HeadwayBCBSTXLPC/LMHC$92.04October 2025submitted
Grow TherapyKaiserCA—$101.20September 2025Kaiser NorCal paid Grow $213.07 for the same session; the clinician received $101.20. source
Grow TherapyBCBS——$68.51September 2025Same clinician reported $104 for the same BCBS session through Headway. source
HeadwayBCBS——$104September 2025Comparison figure from a clinician credentialed on both Grow and Headway. source
Grow TherapyCigna——$68September 2025source
HeadwayBCBSNJ—$115September 2025Horizon BCBS NJ, masters level source
AlmaOptum / UHCNC—$116.80September 2025masters level; 90834 $101.30, 90791 $119.72 source
AlmaAetnaNC—$129.74September 2025masters level; 90834 $103, 90791 $132.28 source
AlmaCignaNC—$95September 2025masters level; 90834 $79, 90791 $110 source
AlmaOptum / UHCNE—$107.80September 2025LIMHP; 90834 $92.30 source
AlmaAetnaTNLMFT$121September 2025source
Direct contractMedicaidNM—$220September 2025LMSW, group practice source
Direct contractCignaNC—$103September 2025Evernorth first offer; poster reports negotiable to $115, then $130 before signing source
Direct contractOptum / UHCMDPhD/PsyD$115.82September 2025United Behavioral Health/Optum, Baltimore area source
HeadwayBCBSTX—$92.04August 2025BCBS PPO, masters level source
HeadwayAetnaTX—$129.74August 2025masters level source
HeadwayAetnaGALCSW$121August 2025source
HeadwayQuest Behavioral HealthGALCSW$125August 2025source
HeadwayOscarGALCSW$112August 2025source
HeadwayCarelonGALCSW$93August 2025source
HeadwayBCBSDCLCSW$114.97August 2025CareFirst; $5 above poster's direct contract source
HeadwayOptum / UHCWALPC/LMHC$120.55August 2025United source
Direct contractBCBSTX—$93.88August 2025BCBS PPO and HMO, masters level; Medicare Advantage $124.99 source
Direct contractBCBSRILCSW$128August 2025LICSW source
Direct contractBCBSIA—$172.90August 2025masters level; 90791 $187.10, 90834 $116.70 source
Direct contractOptum / UHCIA—$89.25August 2025UHC, masters level source
Direct contractBCBSDCLCSW$109.97August 2025CareFirst; increased to $113.40 in December 2025 source
Direct contractCignaDCLCSW$128August 2025LICSW; group and individual contracts pay the same source
Direct contractAetnaOR—$151.74August 2025group contract, masters level; 90791 $164.15 source
Direct contractKaiserOR—$167.09August 2025group contract; 90791 $171.98 source
Direct contractMedicareOR—$154.29August 2025group contract; 90791 $166.91 source
Direct contractMedicaidOR—$184.66August 2025OHP open-card base rate; CareOregon Tier 2 $203 source
Direct contractAetnaCALMFT$112.96August 2025Southern CA, direct credentialing; Cigna offered $80, declined source
Direct contractBCBSIDLPC/LMHC$187.40August 2025submitted
Direct contractAetnaAZLPC/LMHC$103.31August 2025submitted
HeadwayAetnaFLLPC/LMHC$121August 2025submitted
AlmaCignaFLLPC/LMHC$102August 2025submitted
AlmaOptum / UHCFLLPC/LMHC$103August 2025submitted
Tava HealthBCBSFLLPC/LMHC$115August 2025submitted
Direct contractCignaCOLPC/LMHC$65August 2025submitted
Direct contractMedicaidCOLPC/LMHC$113August 2025submitted
AlmaCignaCOLPC/LMHC$106August 2025submitted
Direct contractMedicaidORLPC/LMHC$184.66August 2025submitted
Direct contractAetnaCAPhD/PsyD$157.04August 2025submitted
Grow TherapyKaiserCALCSW$101.20July 2025submitted
Direct contractMedicaidLALPC/LMHC$88.10July 2025submitted
Direct contractBCBSNEPhD/PsyD$284.19July 2025Increased from 277 last July submitted
Direct contractBCBSNELMFT$184.73July 2025submitted
HeadwayIndependence Blue CrossPALCSW$95June 2025submitted
Direct contractOptum / UHCIDLPC/LMHC$110June 2025No longer accept them/in network with them. submitted
Grow TherapyOptum / UHCWILPC/LMHC$88.22June 2025submitted
SonderMindAll payers (flat)NH—$72May 2025source
Spring HealthEAPNCLPC/LMHC$115May 2025Up from $95 in 2024; applied for several raises. submitted
Direct contractBCBSILPhD/PsyD$191May 2025submitted
Direct contractOptum / UHCCTLCSW$132April 2025submitted
HeadwayBCBSILLPC/LMHC$129January 2025submitted
Direct contractAetnaCALMFT$109.62January 2025submitted
RulaAll payers (flat)CALCSW$90January 2025submitted
RulaAll payers (flat)MAPhD/PsyD$90January 2025submitted
AlmaOptum / UHCTXLPC/LMHC$120January 2025submitted
Direct contractAmbetterTXLPC/LMHC$114.93January 2025submitted
AlmaCignaTXLPC/LMHC$97January 2025submitted
Direct contractBCBSCOLPC/LMHC$127January 2025submitted
Grow Therapy—ILLCPC/LPCC/LCMHC$101January 2025submitted
HeadwayBCBS——$110December 2024Clinician reported Headway billed BCBS $220 for the session and paid $110; the claim was later denied as too expensive. source
AlmaOptum / UHC——$120November 2024Cut from $130 in the November 2024 Optum rate reduction ($7 across Optum/UHC/UMR/Surest). source
HeadwayOptum / UHC——$112November 2024Reported alongside the Alma figure; Optum reportedly pays Headway ~$130 for the session. source
Direct contractOptum / UHC——$110.30October 2024Solo-contract rate cited for comparison against platform rates. Same commenter reported Optum pays Alma ~$151 for the identical session. source
AlmaOptum / UHC——$126.80October 2024pre-cut rate; reduced to $116.80 November 2024; 90791 $126.80 cut to $119.72 source
Lyra HealthEAP——$85August 2024Contractor rate, reported as non-negotiable; a 5-year contractor reported annual rate-increase requests denied every year. source
Grow TherapyBCBSVALPC/LMHC$117.34August 2024submitted
Direct contractBCBSAZLPC/LMHC$104.59August 2024Started at 95.88 and received three raises submitted
Direct contractCignaAZLPC/LMHC$106August 2024Group contract rates. Was $59 for individual contract submitted
Direct contractOptum / UHCAZLPC/LMHC$110.30August 2024submitted
Direct contractCignaCALMFT$113August 2024Increased from $76 in 2023 or 2024 submitted
HeadwayOptum / UHCCOLPC/LMHC$120August 2024submitted
HeadwayBCBSCOLPC/LMHC$98August 2024submitted
Group PracticeMedicaidCOLPC/LMHC$105August 2024submitted
Grow Therapy—GALPC/LMHC$96.02August 2024submitted
Direct contractAetnaNYLCSW$120.95August 2024submitted
Direct contractOptum / UHCTNLPC/LMHC$110.30July 2024submitted
Direct contractAetnaTNLPC/LMHC$99July 2024submitted
HeadwayAetnaWILPC/LMHC$130June 2024submitted
HeadwayBCBSWILPC/LMHC$119June 2024submitted
Direct contractCignaMSLCSW$95June 2024submitted
Direct contractBCBSMSLCSW$180June 2024submitted
Direct contractOptum / UHCMSLCSW$104.79June 2024submitted
HeadwayAetnaOHLCSW$121February 2024submitted
HeadwayAetnaCALCSW$129August 2023submitted
Direct contractOptum / UHCCALCSW$115.82August 2023submitted
HeadwayBCBSNJLCSW$115August 2023submitted
HeadwayAetnaNJLCSW$129.74August 2023submitted
HeadwayOptum / UHCNJLCSW$120.55August 2023submitted
HeadwayCignaNJLCSW$95August 2023submitted
HeadwayOptum / UHCCALCSW$120August 2023submitted
HeadwayBCBSCALCSW$107August 2023submitted
Direct contractRegenceWALPC/LMHC$120.24July 2023submitted
Direct contractPremeraWALPC/LMHC$135July 2023submitted
Direct contractBlue Care NetworkMILPC/LMHC$137.06July 2023submitted
Direct contractAetnaCTLCSW$122May 2023submitted
Direct contractBCBSORLPC/LMHC$149.33March 2023submitted
Direct contract—NVLPC/LMHC$108.15January 2023submitted
Spring Health—CALCSW$120January 2023submitted
Spring Health—TXLCSW$120January 2023submitted
Direct contractOptum / UHCAZLPC/LMHC$110.30December 2022submitted
Direct contractOptum / UHCCALMFT$115.82June 2022submitted
Direct contractCignaCTLCSW$111May 2022submitted
Direct contractBCBSTNLPC/LMHC$136July 2021submitted
Direct contractBCBSWILPC/LMHC$131.98May 2021submitted
Direct contractOptum / UHCWILPC/LMHC$120.98May 2021submitted
RulaAll payers (flat)CALMFT$90May 2020submitted
Direct contract—AZLPC/LMHC$150January 2018submitted
Direct contractBCBSWILPC/LMHC$131.96October 2013submitted
Direct contractOptum / UHCWILPC/LMHC$120.96September 2013submitted

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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.

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