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What Aetna pays therapists

Therapists reported 157 Aetna rates between June 2020 and October 2026. The median for a 90837 was $122 across 117 reports, with a range of $78 to $196. Reports came through Headway, Alma, and Grow Therapy, and from clinicians holding their own Aetna contract, which allows the same code to be compared across routes.

Reported 90837: median $122, range $78–$196, middle half $111–$130, about 97% of the 2026 national Medicare reference for a master's-level clinician (117 reports · 157 across all CPTs · updated 2026-10-08)

Aetna 90837 by license

LicenseMedianRangeReports
LCSW$120$95–$15042
LPC/LMHC$121$78–$16640
PhD/PsyD$157$124–$19613
LMFT$114$110–$13011
LCPC/LPCC/LCMHC$130$111–$1303
Pre-licensed$158single report1

Aetna 90837 by route

While Headway reports for a 90837 put the median at $130, direct-contract reports for the same code sit about $15 lower at $115. Direct-contract reports come from a different mix of states, so part of the difference likely reflects geography.

RouteMedianRangeReports
Direct contract$115$78–$17056
Headway$130$115–$19639
Alma$124$110–$13814
Grow Therapy$95$95–$956
Lyra Health$140single report1
SonderMind$111single report1

Aetna 90837 by state

StateMedianRangeReports
California$124$108–$15717
Texas$122$112–$1308
Colorado$121$95–$1308
Arizona$130$103–$1636
New York$129$120–$1856
Georgia$121$95–$1966
Oregon$143$142–$1525
New Jersey$130$128–$1705
Massachusetts$126$111–$1855
Pennsylvania$115$110–$1435
Washington$107$92–$1855
Florida$95$79–$1215
North Carolina$138$130–$1394
Maryland$103$95–$1224
Connecticut$122$122–$1303
Tennessee$121$99–$1223
Virginia$101$95–$1103
Wisconsin$134$130–$1382
Illinois$133$116–$1502
Ohio$121$121–$1212
Missouri$120$110–$1302
Kansas$117$112–$1222
Arkansas$109$78–$1402
Minnesota$158single report1
Oklahoma$122single report1
Indiana$120single report1
Rhode Island$117single report1
New Hampshire$110single report1
Louisiana$106single report1

Other codes: 90791 (intake) median $125 (14 reports); 90834 (45 min) median $100 (18 reports); 90847 (family, with client) median $82 (3 reports); 90846 (family, no client) median $83 (3 reports).

Aetna by state, in detail

All 157 Aetna reports

RouteStLicenseCPTRateEffectiveNote / source
HeadwayPALPC/LMHC90837 (60 min)$115October 2026submitted
HeadwayTNLPC/LMHC90837 (60 min)$122October 2026submitted
HeadwayNJLCSW90834 (45 min)$103October 2026submitted
Direct contractWALPC/LMHC90837 (60 min)$107.01October 2026submitted
Direct contractWALPC/LMHC90837 (60 min)$92October 2026submitted
HeadwayCOLCSW90837 (60 min)$121.74October 2026submitted
AlmaTXLCSW90834 (45 min)$101October 2026submitted
Direct contractNHLCSW90837 (60 min)$110October 2026submitted
Direct contractMNPre-licensed90837 (60 min)$157.52September 2026submitted
Direct contractFLLPC/LMHC90837 (60 min)$79September 2026submitted
HeadwayPALCSW90837 (60 min)$115September 2026Employer plans only, no individual/marketplace plans submitted
Direct contractORLCSW90837 (60 min)$142.26September 2026submitted
Direct contractARLPC/LMHC90837 (60 min)$78.49September 2026submitted
Direct contractNCLPC/LMHC90837 (60 min)$138September 2026submitted
AlmaVALCSW90837 (60 min)$110September 2026submitted
AlmaCOLCSW90837 (60 min)$110September 2026submitted
Grow TherapyCOLCSW90837 (60 min)$95.41September 2026submitted
Grow TherapyVALCSW90837 (60 min)$95.41September 2026submitted
Alma—PhD/PsyD90837 (60 min)cutAugust 2026REPORTED RATE CHANGE, amount varies by contract: an initial notice proposed July 15, 2026 equalization of 90834/90837 and degree rates. A July 9 community reproduction of a revised Alma notice says code and degree differentials remain, with reductions effective August 15, 2026. The revised notice has not been verified against a public company source; consult your own schedule. No dollar amount is recorded for this notice. source
AlmaCALCSW90837 (60 min)$112August 2026Cut from $129 in July submitted
HeadwayKSLCSW90837 (60 min)$122August 2026submitted
Direct contractKSLCSW90837 (60 min)$112August 2026submitted
HeadwayMDLCSW90837 (60 min)$121.74August 2026submitted
Grow TherapyGALPC/LMHC90791 (intake)$96.61August 2026submitted
Grow TherapyGALPC/LMHC90834 (45 min)$61.43August 2026submitted
Grow TherapyGALPC/LMHC90837 (60 min)$95.41August 2026submitted
Grow TherapyGALPC/LMHC90846 (family, no client)$65.05August 2026submitted
Grow TherapyGALPC/LMHC90847 (family, with client)$67.61August 2026submitted
AlmaMNLCSW90834 (45 min)$101August 2026Cut from 116.80 submitted
HeadwayGALPC/LMHC90791 (intake)$110August 2026submitted
AlmaGALPC/LMHC90834 (45 min)$101August 2026submitted
AlmaGALPC/LMHC90837 (60 min)$110August 2026submitted
AlmaGALPC/LMHC90847 (family, with client)$82.47August 2026submitted
Direct contractCALCSW90791 (intake)$123.75August 2026submitted
Direct contractCALCSW90837 (60 min)$112.96August 2026submitted
Direct contractCALCSW90834 (45 min)$82.50August 2026submitted
AlmaMALPC/LMHC90791 (intake)$126August 2026submitted
AlmaMALPC/LMHC90837 (60 min)$126August 2026submitted
HeadwayMOLPC/LMHC90837 (60 min)$130August 2026submitted
AlmaMALCSW90837 (60 min)$126August 2026Cut from $146 last month submitted
AlmaMALCSW90834 (45 min)$110August 2026Cut from $118 or $126 last month submitted
HeadwayOKLPC/LMHC90791 (intake)$124August 2026submitted
HeadwayOKLPC/LMHC90834 (45 min)$95August 2026submitted
HeadwayOKLPC/LMHC90837 (60 min)$122August 2026submitted
Grow TherapyFLLPC/LMHC90791 (intake)$96.61August 2026Unsure of how long this has been in effect submitted
Grow TherapyFLLPC/LMHC90834 (45 min)$61.43August 2026submitted
Grow TherapyFLLPC/LMHC90837 (60 min)$95.41August 2026submitted
AlmaTXLPC/LMHC90837 (60 min)$112August 2026submitted
Direct contractNJPhD/PsyD90837 (60 min)$170.48August 2026submitted
Direct contractTXLCSW90837 (60 min)$112.50August 2026submitted
Direct contractPALPC/LMHC90837 (60 min)$110.21August 2026submitted
Direct contractMALCSW90837 (60 min)$144.08August 2026submitted
AlmaMDLCSW90837 (60 min)$110August 2026submitted
HeadwayINLCSW90837 (60 min)$120August 2026submitted
Direct contractCTLPC/LMHC90791 (intake)$145.66August 2026submitted
Direct contractCTLPC/LMHC90837 (60 min)$122.36August 2026submitted
Direct contractCTLPC/LMHC90834 (45 min)$83.18August 2026submitted
Grow TherapyMDLPC/LMHC90837 (60 min)$95.41August 2026submitted
HeadwayTXLCSW90837 (60 min)$129August 2026submitted
SonderMindMALCPC/LPCC/LCMHC90837 (60 min)$111August 2026submitted
AlmaNYPhD/PsyD90837 (60 min)$138August 2026Was cut from $201 submitted
AlmaWIPhD/PsyD90837 (60 min)$138August 2026Cut from $180.31 submitted
Direct contractNCLPC/LMHC90837 (60 min)$139.18July 2026submitted
Direct contractCALMFT90837 (60 min)$123.88June 2026Increased from 121.00 submitted
HeadwayAZLPC/LMHC90837 (60 min)$130June 2026submitted
HeadwayCALCSW90837 (60 min)$130June 2026submitted
HeadwayCOLCSW90837 (60 min)$130June 2026submitted
HeadwayNJLPC/LMHC90791 (intake)$132June 2026submitted
HeadwayMAPhD/PsyD90837 (60 min)$185June 2026submitted
Alma—LCSW90837 (60 min)$130May 2026therapist payout ~$130 including $25 copay; EOB showed Aetna paid Alma $122.19 source
HeadwayCO—90837 (60 min)$121.74May 2026most other plans pay $95-98 for 90837 via Headway in CO per poster source
HeadwayCO—90834 (45 min)$95May 2026source
Direct contractORLPC/LMHC90837 (60 min)$142.67May 2026submitted
Direct contractNJPhD/PsyD90791 (intake)$172.58May 2026submitted
Direct contractNJPhD/PsyD90837 (60 min)$148.12May 2026submitted
Direct contractORLCSW90837 (60 min)$142.26April 2026submitted
Direct contractTXLPC/LMHC90837 (60 min)$112March 2026submitted
Direct contractILLCSW90837 (60 min)$150March 2026submitted
HeadwayNYPhD/PsyD90837 (60 min)$185January 2026NYC, virtual only source
Direct contractCALMFT90837 (60 min)$112.96January 2026submitted
HeadwayGALPC/LMHC90791 (intake)$124January 2026submitted
HeadwayGALPC/LMHC90837 (60 min)$121January 2026submitted
HeadwayGALPC/LMHC90846 (family, no client)$82.99January 2026submitted
HeadwayGALPC/LMHC90847 (family, with client)$101.77January 2026submitted
HeadwayAZLCSW90837 (60 min)$130January 2026submitted
Grow TherapyFLLCSW90837 (60 min)$95.41January 2026submitted
Direct contractNYLPC/LMHC90837 (60 min)$120January 2026submitted
HeadwayOHLCSW90837 (60 min)$121January 2026submitted
Direct contractNCLPC/LMHC90837 (60 min)$138.61January 2026submitted
Direct contractFLLCSW90837 (60 min)$102.94December 2025submitted
Direct contract—LCSW—$101.35November 2025solo practice, DC/MD/VA source
Direct contractAZLPC/LMHC90837 (60 min)$103.31November 2025submitted
Direct contractAZPhD/PsyD90837 (60 min)$137.75October 2025decreased $2 on 2025-10-15; BCBS AZ $122.03 source
Direct contractVALCSW90837 (60 min)$101.35October 2025submitted
HeadwayTXLPC/LMHC90837 (60 min)$129.74October 2025submitted
HeadwayTXLPC/LMHC90834 (45 min)$103October 2025submitted
Direct contractWALCSW90837 (60 min)$107October 2025submitted
Direct contractTXLMFT90837 (60 min)$114.01October 2025submitted
AlmaNC—90837 (60 min)$129.74September 2025masters level; 90834 $103, 90791 $132.28 source
AlmaTNLMFT90837 (60 min)$121September 2025source
HeadwayTX—90837 (60 min)$129.74August 2025masters level source
HeadwayGALCSW90837 (60 min)$121August 2025source
Direct contractOR—90837 (60 min)$151.74August 2025group contract, masters level; 90791 $164.15 source
Direct contractCALMFT90837 (60 min)$112.96August 2025Southern CA, direct credentialing; Cigna offered $80, declined source
Direct contractAZLPC/LMHC90837 (60 min)$103.31August 2025submitted
HeadwayFLLPC/LMHC90837 (60 min)$121August 2025submitted
Direct contractCAPhD/PsyD90837 (60 min)$157.04August 2025submitted
Direct contractCAPhD/PsyD90834 (45 min)$120August 2025submitted
Direct contractCAPhD/PsyD90791 (intake)$165August 2025submitted
Direct contractPALCSW90837 (60 min)$112.35August 2025submitted
Direct contractNJLPC/LMHC90837 (60 min)$127.86April 2025submitted
Direct contractCALMFT90837 (60 min)$110.57March 2025submitted
Lyra HealthARLPC/LMHC90837 (60 min)$140February 2025submitted
HeadwayRILPC/LMHC90837 (60 min)$117February 2025submitted
Direct contractCALMFT90837 (60 min)$109.62January 2025submitted
HeadwayPAPhD/PsyD90837 (60 min)$143January 2025submitted
HeadwayCTLPC/LMHC90837 (60 min)$130January 2025submitted
Direct contractLALCSW90837 (60 min)$106.13January 2025submitted
Direct contractOR—90837 (60 min)$149November 2024source
Direct contractIL—90837 (60 min)$116November 2024source
AlmaCO—90837 (60 min)$129November 2024source
HeadwayWAPhD/PsyD90837 (60 min)$185October 2024submitted
HeadwayCALMFT90837 (60 min)$130October 2024No cuts submitted
Direct contractNYLCSW90837 (60 min)$120.95August 2024submitted
HeadwayGAPhD/PsyD90837 (60 min)$196.24August 2024submitted
Direct contractGAPhD/PsyD90837 (60 min)$124August 2024submitted
HeadwayNYPhD/PsyD90834 (45 min)$161August 2024submitted
HeadwayCALMFT90837 (60 min)$130August 2024submitted
Direct contractTNLPC/LMHC90837 (60 min)$99July 2024submitted
HeadwayCALMFT90837 (60 min)$130July 2024submitted
HeadwayWILPC/LMHC90837 (60 min)$130June 2024submitted
Direct contractMOLCSW90837 (60 min)$110.30June 2024submitted
Direct contractCALMFT90837 (60 min)$112April 2024They pay very quickly submitted
HeadwayOHLCSW90837 (60 min)$121February 2024submitted
Direct contractWALPC/LMHC90837 (60 min)$107.01December 2023I left panel it was so low, rejoined and given same rate. They are my lowest payer submitted
Direct contractNJLPC/LMHC90791 (intake)$152.33November 2023submitted
Direct contractNJLPC/LMHC90834 (45 min)$86.92November 2023submitted
Direct contractNJLPC/LMHC90837 (60 min)$127.86November 2023submitted
HeadwayTXLPC/LMHC90837 (60 min)$129.74October 2023submitted
HeadwayCALCSW90837 (60 min)$129August 2023submitted
HeadwayNJLCSW90791 (intake)$132.28August 2023submitted
HeadwayNJLCSW90837 (60 min)$129.74August 2023submitted
HeadwayNJLCSW90834 (45 min)$103August 2023submitted
HeadwayAZPhD/PsyD90837 (60 min)$163August 2023submitted
HeadwayCALCPC/LPCC/LCMHC90837 (60 min)$130August 2023submitted
Direct contractCTLCSW90837 (60 min)$122May 2023submitted
Direct contractMDLCSW90837 (60 min)$96.65May 2023submitted
HeadwayCALCPC/LPCC/LCMHC90837 (60 min)$130March 2023submitted
Direct contractNYLPC/LMHC90837 (60 min)$165.76March 2023submitted
Direct contractNYLCSW90791 (intake)$124.32January 2023submitted
Direct contractNYLCSW90834 (45 min)$95.06January 2023submitted
Direct contractNYLCSW90837 (60 min)$120.66January 2023submitted
Direct contractNYLCSW90846 (family, no client)$99.19January 2023submitted
HeadwayCALCSW90834 (45 min)$99January 2023submitted
Direct contractCOLPC/LMHC90837 (60 min)$117August 2022submitted
Direct contractCALCSW90837 (60 min)$108August 2021submitted
Direct contractCOLPC/LMHC90837 (60 min)$121June 2020submitted

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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-payer reports describe this sample; additional reports can change the median and widen the range. How this data is collected and checked.

Add your Aetna rate See these rows in the full table