Payer × CPT
What Aetna pays for a 90791
Therapists reported 14 Aetna rates for CPT 90791 between January 2023 and August 2026. The median was $125, with a range of $97 to $173. The code covers psychiatric diagnostic evaluation, the intake visit.
Reported Aetna 90791: median $125, range $97–$173, middle half $124–$142, about 96% of the 2026 national Medicare reference for a master's-level clinician (14 reports · January 2023 to August 2026 · updated 2026-09-27)
The same payer's reported 90837 median is $122 across 106 reports, which puts 90791 $3 above it. Holding the payer constant leaves differences in state, license, route, and reporting period between the samples. Both figures remain self-reported.
Across every payer in the set, the reported 90791 median is $121 over 60 reports. The 90791 page breaks that figure out by payer, route, license, and state.
Aetna 90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| New Jersey | $142 | $132–$173 | 4 |
| Georgia | $110 | $97–$124 | 3 |
| California | $144 | $124–$165 | 2 |
Aetna 90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $149 | $124–$173 | 6 |
| Headway | $124 | $110–$132 | 5 |
| Grow Therapy | $97 | $97–$97 | 2 |
Aetna 90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $124 | $97–$152 | 9 |
| LCSW | $124 | $124–$132 | 3 |
| PhD/PsyD | $169 | $165–$173 | 2 |
All 14 Aetna 90791 reports
| Route | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Grow Therapy | GA | LPC/LMHC | $96.61 | August 2026 | submitted |
| Headway | GA | LPC/LMHC | $110 | August 2026 | submitted |
| Direct contract | CA | LCSW | $123.75 | August 2026 | submitted |
| Alma | MA | LPC/LMHC | $126 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | $124 | August 2026 | submitted |
| Grow Therapy | FL | LPC/LMHC | $96.61 | August 2026 | Unsure of how long this has been in effect submitted |
| Direct contract | CT | LPC/LMHC | $145.66 | August 2026 | submitted |
| Headway | NJ | LPC/LMHC | $132 | June 2026 | submitted |
| Direct contract | NJ | PhD/PsyD | $172.58 | May 2026 | submitted |
| Headway | GA | LPC/LMHC | $124 | January 2026 | submitted |
| Direct contract | CA | PhD/PsyD | $165 | August 2025 | submitted |
| Direct contract | NJ | LPC/LMHC | $152.33 | November 2023 | submitted |
| Headway | NJ | LCSW | $132.28 | August 2023 | submitted |
| Direct contract | NY | LCSW | $124.32 | January 2023 | submitted |
Related: all Aetna reports, 90791 across every payer, and Aetna 90834.