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What licensed marriage and family therapists report being paid

Licensed marriage and family therapists reported 82 rates. The median 90837 was $113 across 67 reports, with a range of $73 to $210. LPC / LMHC reports put the same code at $114 across 271 reports, within $1 of that.

Reported 90837: median $113, range $73–$210, middle half $98–$123, about 91% of the 2026 national Medicare reference for a master's-level clinician (67 reports · 82 across all CPTs · updated 2026-10-12)

The same code at every license level

Payers set a fee schedule per code, and several of them also set it per license level. The table below pools every report on this site for CPT 90837 and splits it by the reporting clinician's license.

LicenseMedianRangeReports
LPC/LMHC$114$60–$201271
LCSW$112$60–$210233
LMFT$113$73–$21067
PhD/PsyD$148$90–$28443
LCPC/LPCC/LCMHC$111$70–$17527
Pre-licensed$60$49–$1583
MD/DO$136$109–$1632

LMFT 90837 by payer

PayerMedianRangeReports
BCBS$110$86–$18514
Aetna$114$103–$13013
Optum / UHC$118$88–$1329
Cigna$95$73–$1419
Carelon$120$95–$2103
Medicaid$120$108–$1322
Anthem Blue Cross$114$106–$1232
All payers (flat)$90$90–$902
PacificSource$171single report1
HealthNet Medicaid$142single report1
Premera$135single report1
Carelon through Kaiser$115single report1
Carelon Commercial$115single report1
HealthNet$110single report1
EAP$100single report1
Anthem$85single report1

LMFT 90837 by route

RouteMedianRangeReports
Direct contract$115$74–$21038
Headway$116$86–$13014
Grow Therapy$88$73–$923
Rula$90$90–$902
Tava Health$87$86–$882
Medicaid In Ca$142single report1
Lyra Health$125single report1
Hmsa$123single report1
Alma$121single report1
Spring Health$115single report1
Availity$113single report1
Healthnet$110single report1
Cyti Psychological$90single report1

LMFT 90837 by state

StateMedianRangeReports
California$113$74–$21042
Texas$108$105–$1144
District of Columbia$88$88–$1223

LMFT by CPT code

CPT codeMedianRangeReports
90837 (60 min)$113$73–$21067
90834 (45 min)$95$58–$1309
90847 (family, with client)$125$107–$1432
90791 (intake)$103$101–$1052

All 82 LMFT reports

RoutePayerStCPTRateEffectiveNote / source
AvailityBCBSMD90837 (60 min)$113.48December 2026Increased from 109.97 submitted
Direct contractPremeraWA90837 (60 min)$135.39October 2026submitted
HmsaAnthem Blue CrossHI90837 (60 min)$123October 2026submitted
HeadwayBCBSCA90834 (45 min)$106.40October 2026submitted
HeadwayCignaCA90834 (45 min)$76October 2026submitted
Direct contractOptum / UHCTX90837 (60 min)$110.30October 2026Master's level, sole practitioner submitted
HealthnetHealthNetCA90837 (60 min)$110October 2026Sacramento County--have never responded to multiple requests for fee increase submitted
Medicaid In CaHealthNet MedicaidCA90837 (60 min)$142.08October 2026Sacramento County--rates vary depending on county submitted
Direct contractBCBSNJ90837 (60 min)$137.50October 2026submitted
Direct contractBCBSHI90837 (60 min)$123October 2026submitted
Direct contractAetnaAZ90837 (60 min)$103October 2026submitted
HeadwayAetnaDC90837 (60 min)$122October 2026submitted
Direct contractOptum / UHCCA90837 (60 min)$121.33September 2026Not updated or adjusted in at least 3 years submitted
HeadwayBCBSWI90837 (60 min)$119September 2026submitted
Direct contractCarelon CommercialCA90837 (60 min)$115September 2026submitted
Direct contractMedicaidCA90837 (60 min)$131.97August 2026submitted
Direct contractMedicaidCA90834 (45 min)$89.64August 2026submitted
Direct contractEAPCA90837 (60 min)$100August 2026The pay is the same whether 90834 or 90837. I just received a raise from $90 to $100 by asking for it. They also pay for client no-shows. Very easy, hands-off EAP, with no paperwork really. submitted
Direct contractBCBSTX90837 (60 min)$104.75August 2026submitted
Direct contractCignaCA90837 (60 min)$74July 2026submitted
Direct contractAetnaCA90837 (60 min)$123.88June 2026Increased from 121.00 submitted
Direct contractAnthemCA90837 (60 min)$85June 2026They cut their rated this year submitted
Direct contractBCBSKS90837 (60 min)$96.50June 2026submitted
Cyti Psychological—CA90837 (60 min)$90April 2026W-2 employee, also get $20/hour for no-shows, admin time, and education, plus $20/month toward wifi cost submitted
Direct contractCarelonCA90837 (60 min)$210March 2026Took significant negotiation and advocacy submitted
Direct contractAetnaCA90837 (60 min)$112.96January 2026submitted
Direct contractBCBSIL90837 (60 min)$133.67January 2026submitted
Tava HealthCignaCA90837 (60 min)$86January 2026submitted
Tava HealthCignaCA90791 (intake)$101January 2026submitted
Tava HealthCignaCA90834 (45 min)$58January 2026submitted
Tava HealthOptum / UHCCA90791 (intake)$105January 2026submitted
Tava HealthOptum / UHCCA90834 (45 min)$60January 2026submitted
Tava HealthOptum / UHCCA90837 (60 min)$88January 2026submitted
Direct contractBCBSTX90837 (60 min)$104.75January 2026submitted
HeadwayCignaCA90837 (60 min)$95December 2025submitted
HeadwayCarelon through KaiserCA90837 (60 min)$115December 2025submitted
HeadwayBCBSCA90837 (60 min)$106December 2025submitted
Direct contractAetnaTX90837 (60 min)$114.01October 2025submitted
AlmaAetnaTN90837 (60 min)$121September 2025source
Direct contractAetnaCA90837 (60 min)$112.96August 2025Southern CA, direct credentialing; Cigna offered $80, declined source
Direct contractBCBSNE90837 (60 min)$184.73July 2025submitted
Octave—CA90834 (45 min)$130April 2025submitted
Direct contractAetnaCA90837 (60 min)$110.57March 2025submitted
Direct contractAetnaCA90837 (60 min)$109.62January 2025submitted
RulaAll payers (flat)CA90837 (60 min)$90January 2025submitted
Spring Health—CA90837 (60 min)$115December 2024submitted
Grow TherapyBCBSDC90837 (60 min)$87.98December 2024submitted
Grow TherapyCignaPA90837 (60 min)$73November 2024source
Grow TherapyOptum / UHCPA90837 (60 min)$92November 2024source
Direct contractCarelonCA90837 (60 min)$120October 2024submitted
Direct contractCarelonCA90834 (45 min)$95October 2024submitted
HeadwayAetnaCA90837 (60 min)$130October 2024No cuts submitted
HeadwayOptum / UHCCA90837 (60 min)$122October 2024submitted
HeadwayAnthem Blue CrossCA90837 (60 min)$106October 2024submitted
Direct contractCignaCA90837 (60 min)$113August 2024Increased from $76 in 2023 or 2024 submitted
HeadwayBCBSCA90837 (60 min)$86August 2024submitted
HeadwayAetnaCA90837 (60 min)$130August 2024submitted
HeadwayOptum / UHCCA90837 (60 min)$117.73August 2024submitted
HeadwayCignaCA90837 (60 min)$95August 2024submitted
Direct contractCignaCT90837 (60 min)$101August 2024submitted
HeadwayAetnaCA90837 (60 min)$130July 2024submitted
Direct contractHealth PartnersMN90847 (family, with client)$107June 2024submitted
Direct contractBCBSNV90837 (60 min)$142.83May 2024submitted
Direct contractMedicaidNV90837 (60 min)$108.10May 2024submitted
Direct contractAetnaCA90837 (60 min)$112April 2024They pay very quickly submitted
Lyra Health—CA90837 (60 min)$125March 2024submitted
Direct contractHealth PartnersMN90846 (family, no client)$148.87January 2024submitted
HeadwayCignaDC90837 (60 min)$88.48January 2024submitted
Direct contractCignaCA90837 (60 min)$141August 2023submitted
Direct contractEAPCAOther$94August 2023submitted
Direct contractOptum / UHCCT90837 (60 min)$132.09August 2022submitted
Direct contractOptum / UHCCA90837 (60 min)$115.82June 2022submitted
Lyra HealthEAPCA90834 (45 min)$120January 2022submitted
Lyra Health—CA90834 (45 min)$120January 2022submitted
Direct contractPacificSourceOR90847 (family, with client)$143July 2021Going to be removing their plan from the aca marketplace in 2027 submitted
Direct contractOptum / UHCCA90837 (60 min)$121.36August 2020submitted
Direct contract—CA90837 (60 min)$121.33August 2020submitted
RulaAll payers (flat)CA90837 (60 min)$90May 2020submitted
Direct contract—CA90837 (60 min)$121.33April 2020I requested a raise this year and they shut me down and said they would evaluate again in Feb 2026 submitted
Direct contractPacificSourceOR90837 (60 min)$171January 2018submitted
Direct contractCarelonCA90837 (60 min)$95June 2016submitted
Direct contractBCBSCA90837 (60 min)$94.50July 2014submitted

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One report a month, one more if a payer cuts LMFT rates. 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 943 rows. These per-license reports describe this sample; additional reports can change the median and widen the range. How this data is collected and checked.

Add your LMFT rate See these rows in the full table