What licensed professional counselors and licensed mental health counselors report being paid

Licensed professional counselors and licensed mental health counselors reported 390 rates. The median 90837 was $114 across 271 reports, with a range of $60 to $201. LCSW reports put the same code at $112 across 233 reports, within $2 of that.

Reported 90837: median $114, range $60–$201, middle half $98–$130, about 91% of the 2026 national Medicare reference for a master's-level clinician (271 reports · 390 across all CPTs · updated 2026-10-21)

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.

License	Median	Range	Reports
LPC/LMHC	$114	$60–$201	271
LCSW	$112	$60–$210	233
LMFT	$113	$73–$210	67
PhD/PsyD	$148	$90–$284	43
LCPC/LPCC/LCMHC	$111	$70–$175	27
Pre-licensed	$60	$49–$158	3
MD/DO	$136	$109–$163	2

LPC / LMHC 90837 by payer

Payer	Median	Range	Reports
BCBS	$126	$72–$189	62
Aetna	$121	$78–$166	53
Optum / UHC	$115	$88–$190	42
Cigna	$95	$62–$141	31
Kaiser	$116	$85–$165	10
Medicaid	$113	$88–$201	9
EAP	$108	$70–$175	8
All payers (flat)	$80	$80–$84	6
Ambetter	$109	$91–$137	4
Premera	$135	$135–$135	3
Carelon	$67	$67–$107	3
Regence	$111	$101–$120	2
Carefirst	$101	$88–$113	2
AmeriHealth	$67	$64–$70	2
Medical Benefits	$180	single report	1
Moda	$180	single report	1
PacificSource	$171	single report	1
Providence	$161	single report	1
Providence Powered by Collective Health	$161	single report	1
Anthem Blue Cross and Blue Shield of VA	$153	single report	1
Lyra	$150	single report	1
Blue Care Network	$137	single report	1
The Alliance	$131	single report	1
Reflect	$130	single report	1
First choice	$126	single report	1
Tricare	$124	single report	1
University Health Alliance	$123	single report	1
Healthfirst	$112	single report	1
Independence Blue Cross	$95	single report	1
VA Community Care Network	$80	single report	1
Medicare	$77	single report	1
GTEB	$74	single report	1

LPC / LMHC 90837 by route

Route	Median	Range	Reports
Direct contract	$119	$62–$201	158
Headway	$120	$81–$130	46
Grow Therapy	$88	$64–$117	19
Alma	$103	$75–$126	17
Spring Health	$95	$60–$130	9
Lyra Health	$140	$110–$145	5
Rula	$80	$80–$80	5
Collective Counseling Solutions	$132	$120–$145	2
Group Practice	$105	$105–$105	2
SonderMind	$87	$84–$90	2
Medicaid	$120	single report	1
Tava Health	$115	single report	1
Medicaid	$101	single report	1
Cyti Psychological	$90	single report	1
Talkspace	$70	single report	1
Eap Mygroup	$65	single report	1

LPC / LMHC 90837 by state

State	Median	Range	Reports
Washington	$120	$80–$175	30
Georgia	$93	$60–$121	21
Texas	$105	$70–$130	20
Oregon	$153	$77–$201	18
Pennsylvania	$113	$62–$131	16
Virginia	$121	$83–$171	14
Wisconsin	$120	$62–$132	14
Colorado	$118	$65–$145	14
North Carolina	$115	$62–$139	13
New York	$110	$67–$166	13
Arizona	$110	$82–$150	12
Florida	$95	$68–$121	9
Maryland	$88	$74–$103	9
New Jersey	$116	$95–$137	7
Tennessee	$110	$96–$180	7
Missouri	$115	$95–$130	6
Connecticut	$122	$106–$132	5
Massachusetts	$133	$69–$141	4
Rhode Island	$125	$116–$133	4
Arkansas	$140	$78–$166	3
Alabama	$127	$79–$136	3
District of Columbia	$113	$108–$120	3
Idaho	$110	$101–$187	3
South Carolina	$100	$100–$122	3
Louisiana	$100	$88–$105	3

LPC / LMHC by CPT code

CPT code	Median	Range	Reports
90837 (60 min)	$114	$60–$201	271
90791 (intake)	$113	$75–$188	43
90834 (45 min)	$72	$46–$140	40
90847 (family, with client)	$81	$54–$107	16
90846 (family, no client)	$77	$44–$111	13
99404 (preventive counseling)	$70	$55–$85	4
Other	$95	$85–$110	3

All 390 LPC / LMHC reports

Route	Payer	St	CPT	Rate	Effective	Note / source
Headway	BCBS	PA	90837 (60 min)	$100	October 2026	submitted
Headway	Aetna	PA	90837 (60 min)	$115	October 2026	submitted
Headway	Cigna	PA	90837 (60 min)	$95	October 2026	submitted
Headway	BCBS	TN	90837 (60 min)	$96	October 2026	submitted
Headway	Aetna	TN	90837 (60 min)	$122	October 2026	submitted
Headway	Optum / UHC	TN	90837 (60 min)	$102	October 2026	submitted
Spring Health	—	OR	90837 (60 min)	$129	October 2026	submitted
Direct contract	BCBS	WA	90837 (60 min)	$152.52	October 2026	Regence of OR (Clark County only) submitted
Rula	All payers (flat)	WA	90837 (60 min)	$80	October 2026	submitted
Direct contract	Aetna	WA	90837 (60 min)	$107.01	October 2026	submitted
Direct contract	Aetna	WA	90837 (60 min)	$92	October 2026	submitted
Spring Health	—	WA	90837 (60 min)	$95	October 2026	submitted
Headway	BCBS	FL	90837 (60 min)	$95	October 2026	Does pay 12 dollars extra for 'interactive complexity' code on top of the base rate. submitted
Direct contract	Medicaid	HI	90837 (60 min)	$118.70	October 2026	submitted
Direct contract	University Health Alliance	HI	90837 (60 min)	$122.53	October 2026	122.53 + 12 copay submitted
Alma	—	LA	90837 (60 min)	$100	October 2026	submitted
Direct contract	Aetna	VA	90791 (intake)	$90.75	October 2026	submitted
Direct contract	Aetna	VA	90834 (45 min)	$72.60	October 2026	submitted
Direct contract	Aetna	VA	90837 (60 min)	$83.49	October 2026	submitted
Lyra Health	—	NY	90837 (60 min)	$110	October 2026	submitted
Direct contract	Medical Benefits	TN	90837 (60 min)	$180	October 2026	submitted
Eap Mygroup	—	NC	90837 (60 min)	$65	October 2026	submitted
Lyra Health	—	WA	90837 (60 min)	$135	October 2026	submitted
Direct contract	Cigna	WA	90837 (60 min)	$141	October 2026	submitted
Direct contract	Aetna	WA	90837 (60 min)	$103	October 2026	submitted
Direct contract	Ambetter	WA	90837 (60 min)	$136.72	October 2026	One of my best paid insurance panels submitted
Medicaid	—	ID	90837 (60 min)	$101	October 2026	submitted
Medicaid	—	WV	90837 (60 min)	$120	October 2026	submitted
Direct contract	The Alliance	WI	90837 (60 min)	$131	October 2026	submitted
Lyra Health	Lyra	OR	90834 (45 min)	$140	October 2026	submitted
Direct contract	Aetna	OR	90837 (60 min)	$142	October 2026	submitted
Direct contract	Moda	OR	90837 (60 min)	$180	October 2026	submitted
Direct contract	PacificSource	OR	90837 (60 min)	$171	October 2026	submitted
Direct contract	BCBS	RI	90837 (60 min)	$132.86	October 2026	submitted
Direct contract	Optum / UHC	RI	90837 (60 min)	$115.82	October 2026	submitted
Direct contract	Cigna	PA	90837 (60 min)	$65	October 2026	submitted
Direct contract	BCBS	PA	90837 (60 min)	$131	October 2026	submitted
Direct contract	EAP	WA	90837 (60 min)	$175	October 2026	Modern Health EAP submitted
Group Practice	BCBS	TX	90837 (60 min)	$104.75	October 2026	submitted
Headway	Aetna	NY	90837 (60 min)	$129	October 2026	submitted
Direct contract	Aetna	NY	90837 (60 min)	$119	October 2026	submitted
Direct contract	Optum / UHC	NY	90837 (60 min)	$120	October 2026	submitted
Direct contract	BCBS	VA	90837 (60 min)	$152.88	October 2026	Solo practice Eastern region Hampton Roads submitted
Alma	BCBS	MO	90837 (60 min)	$107	October 2026	submitted
Direct contract	Anthem Blue Cross and Blue Shield of VA	VA	90837 (60 min)	$152.66	October 2026	submitted
Headway	BCBS	SC	90837 (60 min)	$100	October 2026	submitted
Headway	Aetna	SC	90837 (60 min)	$122	October 2026	submitted
Headway	Aetna	VA	90837 (60 min)	$121.74	October 2026	submitted
Headway	BCBS	VA	90837 (60 min)	$126	October 2026	submitted
Headway	Kaiser	VA	90837 (60 min)	$123.96	October 2026	submitted
Headway	Optum / UHC	VA	90837 (60 min)	$120.55	October 2026	submitted
Alma	EAP	VA	90834 (45 min)	$110.96	October 2026	submitted
Headway	BCBS	MO	90791 (intake)	$89	October 2026	submitted
Headway	Aetna	MO	90837 (60 min)	$130	October 2026	submitted
Headway	Aetna	AZ	90837 (60 min)	$129.90	October 2026	submitted
Headway	Optum / UHC	AZ	90837 (60 min)	$119	October 2026	submitted
Collective Counseling Solutions	Kaiser	CO	90837 (60 min)	$145	October 2026	submitted
Collective Counseling Solutions	Optum / UHC	CO	90837 (60 min)	$120	October 2026	submitted
Direct contract	Aetna	FL	90837 (60 min)	$79	September 2026	submitted
Direct contract	Premera	WA	90837 (60 min)	$135	September 2026	submitted
Direct contract	Optum / UHC	AR	90846 (family, no client)	$104.11	September 2026	submitted
Direct contract	Aetna	AR	90837 (60 min)	$78.49	September 2026	submitted
Direct contract	Aetna	NC	90837 (60 min)	$138	September 2026	submitted
Direct contract	BCBS	NC	90837 (60 min)	$138	September 2026	submitted
Direct contract	Cigna	WI	90837 (60 min)	$62	September 2026	submitted
Direct contract	Cigna	WI	90834 (45 min)	$60	September 2026	submitted
Direct contract	Tricare	TX	90837 (60 min)	$123.67	September 2026	submitted
Direct contract	Cigna	AL	90837 (60 min)	$79	September 2026	submitted
Rula	All payers (flat)	GA	90837 (60 min)	$80	August 2026	submitted
Grow Therapy	Aetna	GA	90791 (intake)	$96.61	August 2026	submitted
Grow Therapy	Aetna	GA	90834 (45 min)	$61.43	August 2026	submitted
Grow Therapy	Aetna	GA	90837 (60 min)	$95.41	August 2026	submitted
Grow Therapy	Aetna	GA	90846 (family, no client)	$65.05	August 2026	submitted
Grow Therapy	Aetna	GA	90847 (family, with client)	$67.61	August 2026	submitted
Grow Therapy	BCBS	GA	90791 (intake)	$81.35	August 2026	submitted
Grow Therapy	BCBS	GA	90834 (45 min)	$45.60	August 2026	submitted
Grow Therapy	BCBS	GA	90837 (60 min)	$71.91	August 2026	submitted
Grow Therapy	BCBS	GA	90846 (family, no client)	$44	August 2026	submitted
Grow Therapy	BCBS	GA	90847 (family, with client)	$53.60	August 2026	submitted
Grow Therapy	Cigna	GA	90791 (intake)	$87.50	August 2026	submitted
Grow Therapy	Cigna	GA	90834 (45 min)	$62.30	August 2026	submitted
Grow Therapy	Cigna	GA	90837 (60 min)	$73.50	August 2026	submitted
Grow Therapy	Cigna	GA	90846 (family, no client)	$61.60	August 2026	submitted
Grow Therapy	Cigna	GA	90847 (family, with client)	$63.70	August 2026	submitted
Direct contract	Medicaid	OR	90837 (60 min)	$201.28	August 2026	Used to be 184 until billed rate raised to 220 submitted
Direct contract	BCBS	OR	90837 (60 min)	$152.58	August 2026	submitted
Direct contract	Providence	OR	90837 (60 min)	$160.58	August 2026	submitted
Direct contract	Medicare	OR	90837 (60 min)	$77	August 2026	submitted
Direct contract	Cigna	OR	90837 (60 min)	$98	August 2026	submitted
Grow Therapy	Kaiser	GA	90791 (intake)	$108.61	August 2026	submitted
Grow Therapy	Kaiser	GA	90834 (45 min)	$65.13	August 2026	submitted
Grow Therapy	Kaiser	GA	90837 (60 min)	$96.02	August 2026	submitted
Grow Therapy	Kaiser	GA	90847 (family, with client)	$61.61	August 2026	submitted
Headway	Aetna	GA	90791 (intake)	$110	August 2026	submitted
Alma	Aetna	GA	90834 (45 min)	$101	August 2026	submitted
Alma	Aetna	GA	90837 (60 min)	$110	August 2026	submitted
Alma	Aetna	GA	90847 (family, with client)	$82.47	August 2026	submitted
Alma	Optum / UHC	GA	90791 (intake)	$121.24	August 2026	submitted
Alma	Optum / UHC	GA	90834 (45 min)	$87	August 2026	submitted
Direct contract	Kaiser	OR	90837 (60 min)	$165	August 2026	submitted
Alma	Cigna	GA	90846 (family, no client)	$88	August 2026	submitted
Alma	Cigna	GA	90847 (family, with client)	$91	August 2026	submitted
Alma	Carelon	GA	90791 (intake)	$124.30	August 2026	submitted
Alma	EAP	GA	99404 (preventive counseling)	$81	August 2026	submitted
Alma	EAP	GA	90834 (45 min)	$87	August 2026	submitted
Alma	EAP	GA	90846 (family, no client)	$76.81	August 2026	submitted
Alma	EAP	GA	90847 (family, with client)	$80.47	August 2026	submitted
Grow Therapy	EAP	GA	99404 (preventive counseling)	$60	August 2026	submitted
Grow Therapy	EAP	GA	90791 (intake)	$80	August 2026	submitted
Grow Therapy	EAP	GA	90834 (45 min)	$57.60	August 2026	submitted
Grow Therapy	EAP	GA	90837 (60 min)	$80	August 2026	submitted
Grow Therapy	EAP	GA	90847 (family, with client)	$63.20	August 2026	submitted
Grow Therapy	AmeriHealth	GA	90791 (intake)	$76.44	August 2026	submitted
Grow Therapy	AmeriHealth	GA	90834 (45 min)	$54.98	August 2026	submitted
Grow Therapy	AmeriHealth	GA	90837 (60 min)	$64	August 2026	submitted
Grow Therapy	AmeriHealth	GA	90837 (60 min)	$70	August 2026	submitted
Grow Therapy	AmeriHealth	GA	90847 (family, with client)	$64	August 2026	submitted
Direct contract	EAP	GA	Other	$85	August 2026	$85 per 50-min session submitted
Rula	All payers (flat)	WA	90837 (60 min)	$80	August 2026	submitted
Alma	Aetna	MA	90791 (intake)	$126	August 2026	submitted
Alma	Aetna	MA	90837 (60 min)	$126	August 2026	submitted
Amwell	—	KY	90834 (45 min)	$50	August 2026	submitted
Headway	BCBS	NY	90791 (intake)	$125	August 2026	submitted
Headway	BCBS	NY	90837 (60 min)	$110	August 2026	submitted
Headway	BCBS	NY	90834 (45 min)	$83	August 2026	submitted
Headway	BCBS	NY	90847 (family, with client)	$98	August 2026	submitted
Headway	BCBS	NY	90846 (family, no client)	$95	August 2026	submitted
Headway	Aetna	MO	90837 (60 min)	$130	August 2026	submitted
Headway	Cigna	MO	90837 (60 min)	$95	August 2026	submitted
Headway	Aetna	OK	90791 (intake)	$124	August 2026	submitted
Headway	Aetna	OK	90834 (45 min)	$95	August 2026	submitted
Headway	Aetna	OK	90837 (60 min)	$122	August 2026	submitted
Headway	BCBS	OK	90791 (intake)	$96.25	August 2026	submitted
Headway	BCBS	OK	90834 (45 min)	$55.13	August 2026	submitted
Headway	BCBS	OK	90837 (60 min)	$81.26	August 2026	submitted
Headway	BCBS	OK	90791 (intake)	$111.99	August 2026	submitted
Headway	BCBS	OK	90834 (45 min)	$64.15	August 2026	submitted
Grow Therapy	Aetna	FL	90791 (intake)	$96.61	August 2026	Unsure of how long this has been in effect submitted
Grow Therapy	Aetna	FL	90834 (45 min)	$61.43	August 2026	submitted
Alma	Optum / UHC	TX	90837 (60 min)	$103	August 2026	submitted
Grow Therapy	Aetna	FL	90837 (60 min)	$95.41	August 2026	submitted
Alma	Aetna	TX	90837 (60 min)	$112	August 2026	submitted
Grow Therapy	Ambetter	FL	90791 (intake)	$103.26	August 2026	submitted
Alma	Cigna	TX	90837 (60 min)	$102	August 2026	submitted
Grow Therapy	Ambetter	FL	90837 (60 min)	$91.27	August 2026	submitted
Alma	Carelon	TX	90837 (60 min)	$107	August 2026	submitted
Grow Therapy	Amerihealth Administrators	FL	90791 (intake)	$76.44	August 2026	submitted
Alma	EAP	TX	90837 (60 min)	$75	August 2026	75.00 flat rate for every code. submitted
Alma	EAP	TX	90834 (45 min)	$87	August 2026	No 90837 available. submitted
Direct contract	Healthfirst	NY	90837 (60 min)	$112	August 2026	Solo private practice submitted
Direct contract	BCBS	MA	90837 (60 min)	$139.06	August 2026	submitted
Direct contract	Cigna	MA	90837 (60 min)	$69	August 2026	submitted
Direct contract	Optum / UHC	MA	90837 (60 min)	$141.08	August 2026	submitted
Direct contract	BCBS	PA	90837 (60 min)	$131.29	August 2026	submitted
Direct contract	BCBS	PA	90837 (60 min)	$125.07	August 2026	submitted
Direct contract	Aetna	PA	90837 (60 min)	$110.21	August 2026	submitted
Direct contract	Optum / UHC	PA	90837 (60 min)	$110.30	August 2026	submitted
Direct contract	BCBS	VA	90837 (60 min)	$171	August 2026	$161 in 2025 submitted
Direct contract	Cigna	VA	90837 (60 min)	$102	August 2026	submitted
Direct contract	Optum / UHC	VA	90837 (60 min)	$109.59	August 2026	submitted
Direct contract	Medicaid	VA	90837 (60 min)	$113	August 2026	submitted
Direct contract	Aetna	CT	90791 (intake)	$145.66	August 2026	submitted
Direct contract	Aetna	CT	90837 (60 min)	$122.36	August 2026	submitted
Direct contract	Aetna	CT	90834 (45 min)	$83.18	August 2026	submitted
Direct contract	BCBS	CT	90791 (intake)	$132.30	August 2026	submitted
Direct contract	Cigna	CT	90791 (intake)	$148	August 2026	submitted
Direct contract	Medicaid	CT	90837 (60 min)	$105.68	August 2026	submitted
Direct contract	Medicaid	CT	90834 (45 min)	$70.48	August 2026	submitted
Direct contract	Optum / UHC	CT	90791 (intake)	$156.57	August 2026	submitted
Direct contract	Optum / UHC	CT	90837 (60 min)	$132.09	August 2026	submitted
Grow Therapy	VA Community Care Network	MD	90791 (intake)	$86.66	August 2026	submitted
Grow Therapy	VA Community Care Network	MD	90834 (45 min)	$54.09	August 2026	submitted
Grow Therapy	VA Community Care Network	MD	90837 (60 min)	$80.12	August 2026	submitted
Grow Therapy	Optum / UHC	MD	90834 (45 min)	$64.30	August 2026	submitted
Grow Therapy	Optum / UHC	MD	90837 (60 min)	$96.44	August 2026	submitted
Grow Therapy	Kaiser	MD	90791 (intake)	$88.39	August 2026	submitted
Grow Therapy	Kaiser	MD	90834 (45 min)	$58	August 2026	submitted
Grow Therapy	Kaiser	MD	90837 (60 min)	$85	August 2026	submitted
Grow Therapy	GTEB	MD	90791 (intake)	$87.50	August 2026	submitted
Grow Therapy	GTEB	MD	90834 (45 min)	$62.30	August 2026	submitted
Grow Therapy	GTEB	MD	90837 (60 min)	$73.50	August 2026	submitted
Grow Therapy	Cigna	MD	90791 (intake)	$87.50	August 2026	submitted
Grow Therapy	Cigna	MD	90834 (45 min)	$62.30	August 2026	submitted
Grow Therapy	Cigna	MD	90837 (60 min)	$73.50	August 2026	submitted
Grow Therapy	Carefirst	MD	90791 (intake)	$98.92	August 2026	submitted
Grow Therapy	Carefirst	MD	90834 (45 min)	$61.92	August 2026	submitted
Grow Therapy	Carefirst	MD	90837 (60 min)	$87.98	August 2026	submitted
Grow Therapy	Aetna	MD	90837 (60 min)	$95.41	August 2026	submitted
Direct contract	Cigna	NJ	90837 (60 min)	$115	August 2026	$3 increase yearly - you need to reach out to them directly submitted
Direct contract	Cigna	NC	90837 (60 min)	$109.18	August 2026	submitted
Direct contract	BCBS	TX	90837 (60 min)	$104.75	August 2026	submitted
Spring Health	—	GA	90837 (60 min)	$60	August 2026	submitted
Direct contract	Carelon	NY	90837 (60 min)	$67	August 2026	Did not accept contracted rate. Too low to make private practice sustainable. Sent email detailing the problematic nature of such low rates. submitted
Direct contract	BCBS	AL	90837 (60 min)	$136.08	August 2026	submitted
Direct contract	Cigna	AL	90791 (intake)	$75	August 2026	submitted
Direct contract	BCBS	AL	90791 (intake)	$136.31	August 2026	submitted
Direct contract	Optum / UHC	WI	90837 (60 min)	$120.96	July 2026	submitted
Direct contract	BCBS	LA	90837 (60 min)	$104.69	July 2026	submitted
Direct contract	BCBS	LA	90791 (intake)	$121.70	July 2026	submitted
Direct contract	Optum / UHC	LA	90791 (intake)	$131.15	July 2026	submitted
Direct contract	BCBS	MI	90837 (60 min)	$163.56	July 2026	submitted
Direct contract	BCBS	MI	90847 (family, with client)	$107.30	July 2026	submitted
Direct contract	BCBS	OR	90837 (60 min)	$150	July 2026	submitted
Direct contract	BCBS	IA	90837 (60 min)	$180.80	July 2026	submitted
Direct contract	BCBS	OR	90837 (60 min)	$152.52	July 2026	submitted
Direct contract	Aetna	NC	90837 (60 min)	$139.18	July 2026	submitted
Direct contract	Providence Powered by Collective Health	OR	90837 (60 min)	$160.58	July 2026	submitted
Direct contract	BCBS	IA	90791 (intake)	$187.70	July 2026	submitted
Direct contract	Aetna	WI	90837 (60 min)	$110	July 2026	Proposed group contract submitted
Direct contract	BCBS	PA	90837 (60 min)	$131.29	July 2026	submitted
Direct contract	BCBS	IA	90834 (45 min)	$123.30	July 2026	Rates went up for 90834 slightly in July 2026 submitted
Headway	Aetna	AZ	90837 (60 min)	$130	June 2026	submitted
Direct contract	Optum / UHC	TX	90837 (60 min)	$117.57	June 2026	submitted
Direct contract	BCBS	TX	90837 (60 min)	$104.75	June 2026	submitted
Headway	BCBS	NJ	90837 (60 min)	$115	June 2026	submitted
Headway	Aetna	NJ	90791 (intake)	$132	June 2026	submitted
Headway	Cigna	NJ	90837 (60 min)	$94.99	June 2026	submitted
Direct contract	Aetna	OR	90837 (60 min)	$142.67	May 2026	submitted
Direct contract	Kaiser	WA	90837 (60 min)	$134.40	May 2026	submitted
Direct contract	BCBS	NC	90837 (60 min)	$139.47	April 2026	submitted
Direct contract	Optum / UHC	NY	90837 (60 min)	$110	April 2026	submitted
Direct contract	Carelon	NY	90834 (45 min)	$67	April 2026	submitted
Spring Health	EAP	SC	90837 (60 min)	$100	March 2026	$130 in-person, $100 virtual, with paid no-shows; rates appear state- and license-dependent. source
Rula	All payers (flat)	GA	90837 (60 min)	$80	March 2026	submitted
Direct contract	Aetna	TX	90837 (60 min)	$112	March 2026	submitted
Direct contract	Optum / UHC	OR	90837 (60 min)	$190	March 2026	submitted
Direct contract	BCBS	TN	90791 (intake)	$136.40	March 2026	submitted
Direct contract	BCBS	TN	90791 (intake)	$161	March 2026	submitted
Direct contract	Cigna	FL	90837 (60 min)	$68	February 2026	No request for increase until 1 year of current rate. submitted
Spring Health	—	WI	90837 (60 min)	$85	January 2026	submitted
Direct contract	BCBS	MT	90837 (60 min)	$156.19	January 2026	submitted
Direct contract	BCBS	NC	90837 (60 min)	$138	January 2026	submitted
Direct contract	Cigna	NC	90837 (60 min)	$62	January 2026	submitted
Headway	BCBS	GA	90837 (60 min)	$93	January 2026	submitted
Talkspace	—	IN	90837 (60 min)	$70	January 2026	submitted
Direct contract	BCBS	TX	90837 (60 min)	$104.75	January 2026	Increased from 94.75 submitted
Headway	BCBS	GA	90791 (intake)	$113	January 2026	submitted
Headway	BCBS	GA	90834 (45 min)	$61	January 2026	submitted
Headway	Aetna	GA	90791 (intake)	$124	January 2026	submitted
Headway	Aetna	GA	90837 (60 min)	$121	January 2026	submitted
Headway	Cigna	GA	90834 (45 min)	$77	January 2026	submitted
Headway	Cigna	GA	90791 (intake)	$111	January 2026	submitted
Headway	Cigna	GA	90837 (60 min)	$102	January 2026	submitted
Headway	EAP	GA	99404 (preventive counseling)	$85	January 2026	submitted
Headway	EAP	GA	99404 (preventive counseling)	$55	January 2026	submitted
Headway	Aetna	GA	90846 (family, no client)	$82.99	January 2026	submitted
Headway	Aetna	GA	90847 (family, with client)	$101.77	January 2026	submitted
Headway	BCBS	GA	90846 (family, no client)	$59	January 2026	submitted
Headway	Carelon	GA	90846 (family, no client)	$60.22	January 2026	submitted
Headway	Carelon	GA	90847 (family, with client)	$63.09	January 2026	submitted
Headway	Horizon BCBS NJ	GA	90791 (intake)	$115.72	January 2026	submitted
Headway	Horizon BCBS NJ	GA	90834 (45 min)	$74	January 2026	submitted
Headway	Horizon BCBS NJ	GA	90847 (family, with client)	$85.57	January 2026	submitted
Headway	Independence Blue Cross	GA	90834 (45 min)	$73.20	January 2026	submitted
Headway	Independence Blue Cross	GA	90837 (60 min)	$95	January 2026	submitted
Headway	Independence Blue Cross	GA	90846 (family, no client)	$82.30	January 2026	submitted
Headway	Independence Blue Cross	GA	90847 (family, with client)	$86.23	January 2026	submitted
Headway	Optum / UHC	GA	90791 (intake)	$113	January 2026	submitted
Headway	Optum / UHC	GA	90834 (45 min)	$75	January 2026	submitted
Headway	Optum / UHC	GA	90837 (60 min)	$112	January 2026	submitted
Headway	Optum / UHC	GA	90846 (family, no client)	$75.99	January 2026	submitted
Direct contract	Cigna	WA	90837 (60 min)	$108	January 2026	Applied for an increase and they gave me a $3 more (previous rate was $105) submitted
Direct contract	BCBS	WA	90837 (60 min)	$120.24	January 2026	submitted
Direct contract	Aetna	NY	90837 (60 min)	$120	January 2026	submitted
Direct contract	Aetna	NC	90837 (60 min)	$138.61	January 2026	submitted
Direct contract	Cigna	PA	90837 (60 min)	$62	January 2026	submitted
Direct contract	Optum / UHC	PA	90837 (60 min)	$110.30	January 2026	submitted
Direct contract	Aetna	PA	90837 (60 min)	$115	January 2026	submitted
Direct contract	BCBS	NY	90837 (60 min)	$97.94	December 2025	submitted
Direct contract	Carefirst	VA	90837 (60 min)	$113.47	December 2025	submitted
Direct contract	Premera	WA	90837 (60 min)	$135	December 2025	submitted
Direct contract	Aetna	AZ	90837 (60 min)	$103.31	November 2025	submitted
Direct contract	BCBS	RI	90837 (60 min)	$132.86	November 2025	submitted
Spring Health	—	PA	90837 (60 min)	$85	October 2025	$85 per Telehealth session 90837, $110 per in person submitted
Direct contract	Ambetter	NC	90837 (60 min)	$103	October 2025	submitted
Headway	Aetna	TX	90837 (60 min)	$129.74	October 2025	submitted
Headway	Aetna	TX	90834 (45 min)	$103	October 2025	submitted
Headway	BCBS	TX	90837 (60 min)	$92.04	October 2025	submitted
SonderMind	All payers (flat)	GA	90837 (60 min)	$84	October 2025	submitted
Rula	All payers (flat)	GA	90837 (60 min)	$80	October 2025	submitted
Direct contract	BCBS	CT	90837 (60 min)	$116.82	October 2025	submitted
Headway	Optum / UHC	WA	90837 (60 min)	$120.55	August 2025	United source
Direct contract	BCBS	ID	90837 (60 min)	$187.40	August 2025	submitted
Direct contract	Aetna	AZ	90837 (60 min)	$103.31	August 2025	submitted
Headway	Aetna	FL	90837 (60 min)	$121	August 2025	submitted
Alma	Cigna	FL	90837 (60 min)	$102	August 2025	submitted
Alma	Optum / UHC	FL	90837 (60 min)	$103	August 2025	submitted
Tava Health	BCBS	FL	90837 (60 min)	$115	August 2025	submitted
Direct contract	Cigna	CO	90837 (60 min)	$65	August 2025	submitted
Direct contract	Medicaid	CO	90837 (60 min)	$113	August 2025	submitted
Alma	Cigna	CO	90837 (60 min)	$106	August 2025	submitted
Direct contract	Medicaid	OR	90837 (60 min)	$184.66	August 2025	submitted
SonderMind	—	MD	90837 (60 min)	$90	August 2025	submitted
Direct contract	Optum / UHC	NC	90837 (60 min)	$104.79	August 2025	submitted
Direct contract	Optum / UHC	CO	90837 (60 min)	$113	August 2025	submitted
Cyti Psychological	—	CA	90837 (60 min)	$90	August 2025	submitted
Direct contract	Medicaid	LA	90837 (60 min)	$88.10	July 2025	submitted
Direct contract	Optum / UHC	ID	90837 (60 min)	$110	June 2025	No longer accept them/in network with them. submitted
Grow Therapy	Optum / UHC	WI	90837 (60 min)	$88.22	June 2025	submitted
Alma	Cigna	GA	90837 (60 min)	$102	June 2025	submitted
Alma	Optum / UHC	GA	90837 (60 min)	$103	June 2025	submitted
Spring Health	EAP	PA	90837 (60 min)	$130	June 2025	Negotiated regularly (every 6 months) Starting offer was $75, Negotiated to $95, then steadily re-negotiated at every opportunity to eventually bring it up to $130 submitted
Spring Health	EAP	NC	90837 (60 min)	$115	May 2025	Up from $95 in 2024; applied for several raises. submitted
Direct contract	Aetna	NJ	90837 (60 min)	$127.86	April 2025	submitted
Headway	BCBS	VA	90837 (60 min)	$126	March 2025	They received an increase from anthem in July 2026 and refuse to pass it on. submitted
Lyra Health	Lyra EAP	TX	Other	$95	March 2025	Was receiving $115 per EAP session as a contractor with a group practice. Got credentialed on my own and rate was less, $95 submitted
Headway	BCBS	AL	90837 (60 min)	$127	February 2025	submitted
Lyra Health	Aetna	AR	90837 (60 min)	$140	February 2025	submitted
Headway	Aetna	RI	90837 (60 min)	$117	February 2025	submitted
Headway	BCBS	IL	90837 (60 min)	$129	January 2025	submitted
Alma	Optum / UHC	TX	90837 (60 min)	$120	January 2025	submitted
Direct contract	Ambetter	TX	90837 (60 min)	$114.93	January 2025	submitted
Alma	Cigna	TX	90837 (60 min)	$97	January 2025	submitted
Direct contract	BCBS	CO	90837 (60 min)	$127	January 2025	submitted
Headway	Aetna	CT	90837 (60 min)	$130	January 2025	submitted
Direct contract	Optum / UHC	NY	90837 (60 min)	$110.30	January 2025	submitted
Direct contract	Kaiser	WA	90837 (60 min)	$116	September 2024	submitted
Grow Therapy	BCBS	VA	90837 (60 min)	$117.34	August 2024	submitted
Direct contract	BCBS	AZ	90837 (60 min)	$104.59	August 2024	Started at 95.88 and received three raises submitted
Direct contract	Cigna	AZ	90837 (60 min)	$106	August 2024	Group contract rates. Was $59 for individual contract submitted
Direct contract	Optum / UHC	AZ	90837 (60 min)	$110.30	August 2024	submitted
Headway	Optum / UHC	CO	90837 (60 min)	$120	August 2024	submitted
Headway	BCBS	CO	90837 (60 min)	$98	August 2024	submitted
Group Practice	Medicaid	CO	90837 (60 min)	$105	August 2024	submitted
Grow Therapy	Kaiser	GA	90837 (60 min)	$96.02	August 2024	submitted
Headway	Cigna	UT	90837 (60 min)	$90	August 2024	submitted
Headway	BCBS	TX	90837 (60 min)	$92.04	August 2024	submitted
Direct contract	Cigna	WI	90837 (60 min)	$64	August 2024	This is after 1st rate increase request after 10+ year contract submitted
Direct contract	Optum / UHC	TN	90837 (60 min)	$110.30	July 2024	submitted
Direct contract	Aetna	TN	90837 (60 min)	$99	July 2024	submitted
Direct contract	BCBS	NJ	90834 (45 min)	$91.54	July 2024	submitted
Direct contract	BCBS	NJ	90837 (60 min)	$137.26	July 2024	submitted
Direct contract	BCBS	NJ	90846 (family, no client)	$110.54	July 2024	submitted
Direct contract	Regence	WA	90837 (60 min)	$100.91	July 2024	Heard they may have lowered it in 2026? submitted
Direct contract	BCBS	WA	90837 (60 min)	$121	July 2024	Some report an Increase from this amount? submitted
Direct contract	First choice	WA	90837 (60 min)	$126	July 2024	submitted
Headway	Aetna	WI	90837 (60 min)	$130	June 2024	submitted
Headway	BCBS	WI	90837 (60 min)	$119	June 2024	submitted
Direct contract	Optum / UHC	WA	90837 (60 min)	$140	June 2024	submitted
Direct contract	Kaiser	WA	90837 (60 min)	$116	June 2024	submitted
Direct contract	BCBS	AR	90837 (60 min)	$166.19	April 2024	submitted
Direct contract	Optum / UHC	WI	90837 (60 min)	$120	April 2024	submitted
Lyra Health	—	LA	Other	$110	February 2024	submitted
Direct contract	Kaiser	WA	90837 (60 min)	$116	January 2024	submitted
Direct contract	Optum / UHC	PA	90837 (60 min)	$115.82	January 2024	submitted
Direct contract	Optum / UHC	IA	90837 (60 min)	$109.25	January 2024	submitted
Alma	Optum / UHC	MO	90837 (60 min)	$116.80	January 2024	submitted
Direct contract	Aetna	WA	90837 (60 min)	$107.01	December 2023	I left panel it was so low, rejoined and given same rate. They are my lowest payer submitted
Direct contract	Aetna	NJ	90791 (intake)	$152.33	November 2023	submitted
Direct contract	Aetna	NJ	90834 (45 min)	$86.92	November 2023	submitted
Direct contract	Aetna	NJ	90837 (60 min)	$127.86	November 2023	submitted
Headway	Aetna	TX	90837 (60 min)	$129.74	October 2023	submitted
Direct contract	Aetna	WA	90837 (60 min)	$110	October 2023	submitted
Direct contract	Regence	WA	90837 (60 min)	$120.24	July 2023	submitted
Direct contract	Premera	WA	90837 (60 min)	$135	July 2023	submitted
Direct contract	Blue Care Network	MI	90837 (60 min)	$137.06	July 2023	submitted
Direct contract	Optum / UHC	NJ	90791 (intake)	$137.70	July 2023	submitted
Direct contract	Optum / UHC	NJ	90834 (45 min)	$78.73	July 2023	submitted
Direct contract	Optum / UHC	NJ	90837 (60 min)	$115.82	July 2023	submitted
Lyra Health	—	OR	90837 (60 min)	$145	June 2023	submitted
Direct contract	Cigna	VT	90837 (60 min)	$71	May 2023	Raised from 69 to 71 in August 2024 submitted
Direct contract	Optum / UHC	NC	90837 (60 min)	$113.57	April 2023	submitted
Direct contract	BCBS	DC	90837 (60 min)	$113	April 2023	submitted
Direct contract	Optum / UHC	DC	90837 (60 min)	$120	April 2023	submitted
Direct contract	BCBS	OR	90837 (60 min)	$149.33	March 2023	submitted
Direct contract	BCBS	AZ	90837 (60 min)	$82.50	March 2023	submitted
Direct contract	Optum / UHC	AZ	90837 (60 min)	$110.30	March 2023	submitted
Direct contract	Optum / UHC	AZ	90847 (family, with client)	$91.77	March 2023	submitted
Direct contract	Aetna	NY	90837 (60 min)	$165.76	March 2023	submitted
Direct contract	Cigna	DC	90837 (60 min)	$108	March 2023	submitted
Direct contract	—	NV	90837 (60 min)	$108.15	January 2023	submitted
Direct contract	Optum / UHC	AZ	90837 (60 min)	$110.30	December 2022	submitted
Direct contract	Aetna	CO	90837 (60 min)	$117	August 2022	submitted
Spring Health	EAP	TX	90837 (60 min)	$70	August 2022	submitted
Lyra Health	EAP	WA	90837 (60 min)	$140	July 2022	Had to negotiate, took weeks and push back. Paneled for years and asked for a raise, was denied. submitted
Direct contract	Reflect	WA	90837 (60 min)	$130	July 2022	Individual: $130/Day, $150/5pm, Couples: $155/Day, $175/5pm Evening. $30 Month submitted
Direct contract	BCBS	TN	90837 (60 min)	$136	July 2021	submitted
Direct contract	BCBS	WI	90837 (60 min)	$131.98	May 2021	submitted
Direct contract	Optum / UHC	WI	90837 (60 min)	$120.98	May 2021	submitted
Direct contract	Cigna	CO	90837 (60 min)	$121	August 2020	submitted
Direct contract	Medicaid	CO	90837 (60 min)	$125	August 2020	submitted
Direct contract	Aetna	CO	90837 (60 min)	$121	June 2020	submitted
Direct contract	Cigna	NY	90834 (45 min)	$74	June 2020	submitted
Direct contract	BCBS	MD	90837 (60 min)	$103	August 2019	submitted
Direct contract	BCBS	MS	90837 (60 min)	$189	May 2018	submitted
Direct contract	Lyra	AZ	90837 (60 min)	$150	January 2018	submitted
Direct contract	Aetna	MO	90837 (60 min)	$114	February 2017	Cannot figure out how to get a rate increase submitted
Direct contract	BCBS	WI	90837 (60 min)	$131.96	October 2013	submitted
Direct contract	Optum / UHC	WI	90837 (60 min)	$120.96	September 2013	submitted
Direct contract	Carelon	NY	90837 (60 min)	$67	—	Unknown start date 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 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 LPC / LMHC rate See these rows in the full table