Payer rate page
What BCBS pays therapists
Therapists reported 177 BCBS rates between October 2013 and December 2026. The median for a 90837 was $122 across 142 reports, with a range of $69 to $284. Reports came through Headway, Grow Therapy, and Alma, and from clinicians holding their own BCBS contract, which allows the same code to be compared across routes.
Reported 90837: median $122, range $69–$284, middle half $105–$139, about 97% of the 2026 national Medicare reference for a master's-level clinician (142 reports · 177 across all CPTs · updated 2026-10-07)
BCBS 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $126 | $72–$189 | 52 |
| LCSW | $124 | $78–$210 | 52 |
| LMFT | $106 | $86–$185 | 11 |
| PhD/PsyD | $150 | $122–$284 | 10 |
| LCPC/LPCC/LCMHC | $113 | $91–$134 | 5 |
| MD/DO | $109 | single report | 1 |
BCBS 90837 by route
While direct-contract reports for a 90837 put the median at $134, Headway reports for the same code sit about $25 lower at $109. Direct-contract reports come from a different mix of states, so part of the difference likely reflects geography. Fees, billing work, and payment risks depend on the applicable contracts and are not measured here.
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $134 | $82–$284 | 90 |
| Headway | $109 | $81–$152 | 41 |
| Grow Therapy | $83 | $69–$117 | 6 |
| Alma | $127 | $107–$139 | 3 |
| Tava Health | $115 | single report | 1 |
| Availity | $113 | single report | 1 |
BCBS 90837 by state
| State | Median | Range | Reports |
|---|---|---|---|
| Texas | $105 | $92–$128 | 10 |
| Oregon | $150 | $120–$153 | 9 |
| Illinois | $134 | $129–$191 | 9 |
| Maryland | $109 | $103–$119 | 9 |
| California | $103 | $86–$148 | 8 |
| Virginia | $150 | $113–$171 | 7 |
| Massachusetts | $139 | $131–$140 | 7 |
| Washington | $128 | $120–$153 | 6 |
| New Jersey | $126 | $115–$165 | 6 |
| Pennsylvania | $113 | $95–$131 | 6 |
| Wisconsin | $127 | $119–$132 | 5 |
| Colorado | $98 | $98–$127 | 5 |
| Rhode Island | $133 | $128–$134 | 4 |
| Arizona | $113 | $82–$140 | 4 |
| Florida | $91 | $78–$115 | 4 |
| Iowa | $181 | $173–$181 | 3 |
| North Carolina | $138 | $138–$139 | 3 |
| District of Columbia | $110 | $88–$115 | 3 |
| New York | $102 | $98–$110 | 3 |
| Georgia | $93 | $72–$98 | 3 |
| Nebraska | $234 | $185–$284 | 2 |
| Mississippi | $184 | $180–$189 | 2 |
| Montana | $156 | $156–$156 | 2 |
| Alabama | $127 | $127–$127 | 2 |
| Tennessee | $116 | $96–$136 | 2 |
| Louisiana | $105 | $105–$105 | 2 |
| Kentucky | $100 | $91–$109 | 2 |
| Oklahoma | $93 | $81–$105 | 2 |
| Wyoming | $210 | single report | 1 |
| Idaho | $187 | single report | 1 |
| Arkansas | $166 | single report | 1 |
| Michigan | $164 | single report | 1 |
| Nevada | $143 | single report | 1 |
| Kansas | $117 | single report | 1 |
| Connecticut | $117 | single report | 1 |
| Indiana | $110 | single report | 1 |
| Ohio | $91 | single report | 1 |
Other codes: 90791 (intake) median $123 (14 reports); 90834 (45 min) median $83 (13 reports); 90847 (family, with client) median $98 (3 reports); 90846 (family, no client) median $77 (4 reports).
BCBS by state, in detail
- BCBS in Texas 11
- BCBS in Illinois 11
- BCBS in Massachusetts 11
- BCBS in New Jersey 10
- BCBS in Oregon 10
- BCBS in Georgia 10
- BCBS in Maryland 9
- BCBS in California 9
- BCBS in New York 8
- BCBS in Virginia 7
- BCBS in Oklahoma 6
- BCBS in Pennsylvania 6
- BCBS in Washington 6
- BCBS in Wisconsin 5
- BCBS in Colorado 5
- BCBS in Rhode Island 4
- BCBS in Iowa 4
- BCBS in Arizona 4
- BCBS in Florida 4
- BCBS in District of Columbia 3
- BCBS in Louisiana 3
- BCBS in North Carolina 3
All 177 BCBS reports
| Route | St | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Availity | MD | LMFT | 90837 (60 min) | $113.48 | December 2026 | Increased from 109.97 submitted |
| Headway | PA | LPC/LMHC | 90837 (60 min) | $100 | October 2026 | submitted |
| Headway | TN | LPC/LMHC | 90837 (60 min) | $96 | October 2026 | submitted |
| Direct contract | WA | LPC/LMHC | 90837 (60 min) | $152.52 | October 2026 | Regence of OR (Clark County only) submitted |
| Headway | AL | LCSW | 90837 (60 min) | $127 | October 2026 | submitted |
| Headway | CO | LCSW | 90837 (60 min) | $98 | October 2026 | submitted |
| Headway | TX | LCSW | 90834 (45 min) | $61.28 | October 2026 | submitted |
| Alma | WI | PhD/PsyD | 90837 (60 min) | $127 | October 2026 | submitted |
| Headway | FL | LPC/LMHC | 90837 (60 min) | $95 | October 2026 | Does pay 12 dollars extra for 'interactive complexity' code on top of the base rate. submitted |
| Headway | CA | LMFT | 90834 (45 min) | $106.40 | October 2026 | submitted |
| Direct contract | TX | PhD/PsyD | 90837 (60 min) | $127.81 | October 2026 | submitted |
| Direct contract | MA | LCSW | 90837 (60 min) | $140.12 | September 2026 | This is for an independently licensed clinician as a sole proprietor in private practice (LICSW) submitted |
| Headway | PA | LCSW | 90837 (60 min) | $95 | September 2026 | Independence Blue Cross - Virtual Network submitted |
| Headway | PA | LCSW | 90837 (60 min) | $100 | September 2026 | Highmark BCBS submitted |
| Headway | WI | LMFT | 90837 (60 min) | $119 | September 2026 | submitted |
| Direct contract | OR | LCSW | 90837 (60 min) | $152.52 | September 2026 | submitted |
| Direct contract | NC | LPC/LMHC | 90837 (60 min) | $138 | September 2026 | submitted |
| Alma | CO | LCSW | 90837 (60 min) | $107 | September 2026 | submitted |
| Headway | CO | LCSW | 90837 (60 min) | $98 | September 2026 | submitted |
| Headway | KS | LCSW | 90837 (60 min) | $117 | August 2026 | submitted |
| Headway | MD | LCSW | 90837 (60 min) | $119.07 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90791 (intake) | $81.35 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90834 (45 min) | $45.60 | August 2026 | submitted |
| Headway | OR | LCSW | 90837 (60 min) | $120 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90837 (60 min) | $71.91 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90846 (family, no client) | $44 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90847 (family, with client) | $53.60 | August 2026 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $152.58 | August 2026 | submitted |
| Direct contract | MT | LCSW | 90837 (60 min) | $156.19 | August 2026 | submitted |
| Direct contract | IL | LCPC/LPCC/LCMHC | 90837 (60 min) | $133.67 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | 90791 (intake) | $125 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | 90837 (60 min) | $110 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | 90834 (45 min) | $83 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | 90847 (family, with client) | $98 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | 90846 (family, no client) | $95 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | 90791 (intake) | $96.25 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | 90834 (45 min) | $55.13 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | 90837 (60 min) | $81.26 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | 90791 (intake) | $111.99 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | 90834 (45 min) | $64.15 | August 2026 | submitted |
| Headway | MD | LCPC/LPCC/LCMHC | 90837 (60 min) | $119.07 | August 2026 | submitted |
| Direct contract | IA | LCSW | 90837 (60 min) | $180.80 | August 2026 | submitted |
| Direct contract | MA | LPC/LMHC | 90837 (60 min) | $139.06 | August 2026 | submitted |
| Direct contract | PA | LPC/LMHC | 90837 (60 min) | $131.29 | August 2026 | submitted |
| Direct contract | PA | LPC/LMHC | 90837 (60 min) | $125.07 | August 2026 | submitted |
| Direct contract | VA | LPC/LMHC | 90837 (60 min) | $171 | August 2026 | $161 in 2025 submitted |
| Direct contract | KY | MD/DO | 90837 (60 min) | $109 | August 2026 | submitted |
| Headway | IN | LCSW | 90837 (60 min) | $110 | August 2026 | submitted |
| Direct contract | CT | LPC/LMHC | 90791 (intake) | $132.30 | August 2026 | submitted |
| Direct contract | MA | LCSW | 90837 (60 min) | $139.06 | August 2026 | submitted |
| Direct contract | TX | LMFT | 90837 (60 min) | $104.75 | August 2026 | submitted |
| Direct contract | TX | LPC/LMHC | 90837 (60 min) | $104.75 | August 2026 | submitted |
| Grow Therapy | FL | LCSW | 90837 (60 min) | $87 | August 2026 | submitted |
| Direct contract | LA | LPC/LMHC | 90837 (60 min) | $104.69 | July 2026 | submitted |
| Direct contract | LA | LPC/LMHC | 90791 (intake) | $121.70 | July 2026 | submitted |
| Direct contract | MI | LPC/LMHC | 90837 (60 min) | $163.56 | July 2026 | submitted |
| Direct contract | MI | LPC/LMHC | 90847 (family, with client) | $107.30 | July 2026 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $150 | July 2026 | submitted |
| Direct contract | PA | LCSW | 90837 (60 min) | $131.29 | July 2026 | submitted |
| Direct contract | IA | LPC/LMHC | 90837 (60 min) | $180.80 | July 2026 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $152.52 | July 2026 | submitted |
| Direct contract | OR | LCSW | 90791 (intake) | $242.47 | July 2026 | submitted |
| Direct contract | OR | LCSW | 90837 (60 min) | $152.52 | July 2026 | submitted |
| Direct contract | IA | LPC/LMHC | 90791 (intake) | $187.70 | July 2026 | submitted |
| Direct contract | TX | LPC/LMHC | 90837 (60 min) | $104.75 | June 2026 | submitted |
| Direct contract | IL | LCSW | 90837 (60 min) | $133.67 | June 2026 | submitted |
| Headway | NJ | LPC/LMHC | 90837 (60 min) | $115 | June 2026 | submitted |
| Direct contract | IL | LCSW | 90837 (60 min) | $131.48 | May 2026 | submitted |
| Direct contract | WY | LCSW | 90837 (60 min) | $210 | May 2026 | submitted |
| Direct contract | NC | LPC/LMHC | 90837 (60 min) | $139.47 | April 2026 | submitted |
| Direct contract | MA | LCSW | 90837 (60 min) | $139.06 | April 2026 | Small decrease submitted |
| Direct contract | NY | LCSW | 90791 (intake) | $116.02 | March 2026 | submitted |
| Direct contract | NY | LCSW | 90837 (60 min) | $102.50 | March 2026 | submitted |
| Headway | MD | LCSW | 90837 (60 min) | $109 | January 2026 | Down from 115 in 2025 submitted |
| Direct contract | MT | LPC/LMHC | 90837 (60 min) | $156.19 | January 2026 | submitted |
| Direct contract | NC | LPC/LMHC | 90837 (60 min) | $138 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90837 (60 min) | $93 | January 2026 | submitted |
| Direct contract | IL | LCSW | 90837 (60 min) | $133.67 | January 2026 | submitted |
| Direct contract | TX | LPC/LMHC | 90837 (60 min) | $104.75 | January 2026 | Increased from 94.75 submitted |
| Headway | GA | LPC/LMHC | 90791 (intake) | $113 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90834 (45 min) | $61 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90846 (family, no client) | $59 | January 2026 | submitted |
| Direct contract | IL | LMFT | 90837 (60 min) | $133.67 | January 2026 | submitted |
| Direct contract | WA | LPC/LMHC | 90837 (60 min) | $120.24 | January 2026 | submitted |
| Direct contract | IL | LCSW | 90837 (60 min) | $158.10 | January 2026 | submitted |
| Direct contract | MA | LCSW | 90791 (intake) | $152.30 | January 2026 | submitted |
| Direct contract | MA | LCSW | 90837 (60 min) | $139.06 | January 2026 | submitted |
| Direct contract | KY | LCPC/LPCC/LCMHC | 90837 (60 min) | $91.23 | January 2026 | since 2023 submitted |
| Direct contract | TX | LMFT | 90837 (60 min) | $104.75 | January 2026 | submitted |
| Headway | OH | LCSW | 90837 (60 min) | $91 | January 2026 | submitted |
| Headway | MA | LCSW | 90837 (60 min) | $131 | January 2026 | submitted |
| Direct contract | LA | LCSW | 90837 (60 min) | $104.69 | January 2026 | submitted |
| Direct contract | VA | — | 90837 (60 min) | $150 | December 2025 | Anthem, independent contract, masters level, rounded source |
| Direct contract | MD | LCSW | 90837 (60 min) | $104.33 | December 2025 | submitted |
| Direct contract | MD | LCSW | 90837 (60 min) | $106.60 | December 2025 | submitted |
| Direct contract | NY | LPC/LMHC | 90837 (60 min) | $97.94 | December 2025 | submitted |
| Direct contract | MD | LCPC/LPCC/LCMHC | 90837 (60 min) | $104.33 | December 2025 | $104.33 for PPO; $106.60 for HMO submitted |
| Direct contract | MD | LCPC/LPCC/LCMHC | 90837 (60 min) | $113.40 | December 2025 | Increase from 110.9 prior to December 2025 submitted |
| Direct contract | RI | LCSW | 90837 (60 min) | $132.86 | December 2025 | For LICSW, not LCSW (RI has both distinctions) submitted |
| Headway | CA | LMFT | 90837 (60 min) | $106 | December 2025 | submitted |
| Direct contract | — | LCSW | — | $101.91 | November 2025 | solo practice, DC/MD/VA source |
| Direct contract | RI | LPC/LMHC | 90837 (60 min) | $132.86 | November 2025 | submitted |
| Direct contract | VA | LCSW | 90837 (60 min) | $170.99 | October 2025 | submitted |
| Direct contract | VA | LCSW | 90837 (60 min) | $113.40 | October 2025 | submitted |
| Headway | TX | LPC/LMHC | 90837 (60 min) | $92.04 | October 2025 | submitted |
| Direct contract | CT | LPC/LMHC | 90837 (60 min) | $116.82 | October 2025 | submitted |
| Direct contract | OR | LCSW | 90837 (60 min) | $149.33 | October 2025 | submitted |
| Grow Therapy | — | — | 90837 (60 min) | $68.51 | September 2025 | Same clinician reported $104 for the same BCBS session through Headway. source |
| Headway | — | — | 90837 (60 min) | $104 | September 2025 | Comparison figure from a clinician credentialed on both Grow and Headway. source |
| Headway | NJ | — | 90837 (60 min) | $115 | September 2025 | Horizon BCBS NJ, masters level source |
| Direct contract | MA | PhD/PsyD | 90834 (45 min) | $135.19 | September 2025 | submitted |
| Direct contract | MA | LCSW | 90834 (45 min) | $101.98 | September 2025 | submitted |
| Headway | TX | — | 90837 (60 min) | $92.04 | August 2025 | BCBS PPO, masters level source |
| Headway | DC | LCSW | 90837 (60 min) | $114.97 | August 2025 | CareFirst; $5 above poster's direct contract source |
| Direct contract | TX | — | 90837 (60 min) | $93.88 | August 2025 | BCBS PPO and HMO, masters level; Medicare Advantage $124.99 source |
| Direct contract | RI | LCSW | 90837 (60 min) | $128 | August 2025 | LICSW source |
| Direct contract | IA | — | 90837 (60 min) | $172.90 | August 2025 | masters level; 90791 $187.10, 90834 $116.70 source |
| Direct contract | DC | LCSW | 90837 (60 min) | $109.97 | August 2025 | CareFirst; increased to $113.40 in December 2025 source |
| Direct contract | ID | LPC/LMHC | 90837 (60 min) | $187.40 | August 2025 | submitted |
| Tava Health | FL | LPC/LMHC | 90837 (60 min) | $115 | August 2025 | submitted |
| Direct contract | CA | LCSW | 90837 (60 min) | $133 | August 2025 | submitted |
| Direct contract | NJ | PhD/PsyD | 90837 (60 min) | $164.28 | August 2025 | submitted |
| Direct contract | NE | PhD/PsyD | 90837 (60 min) | $284.19 | July 2025 | Increased from 277 last July submitted |
| Direct contract | NE | LMFT | 90837 (60 min) | $184.73 | July 2025 | submitted |
| Direct contract | IL | LCSW | 90791 (intake) | $187.08 | June 2025 | submitted |
| Direct contract | IL | LCSW | 90834 (45 min) | $107.81 | June 2025 | submitted |
| Direct contract | IN | PhD/PsyD | 90791 (intake) | $227 | May 2025 | submitted |
| Direct contract | IL | PhD/PsyD | 90837 (60 min) | $191 | May 2025 | submitted |
| Headway | VA | LPC/LMHC | 90837 (60 min) | $126 | March 2025 | They received an increase from anthem in July 2026 and refuse to pass it on. submitted |
| Headway | AL | LPC/LMHC | 90837 (60 min) | $127 | February 2025 | submitted |
| Headway | IL | LPC/LMHC | 90837 (60 min) | $129 | January 2025 | submitted |
| Direct contract | CO | LPC/LMHC | 90837 (60 min) | $127 | January 2025 | submitted |
| Grow Therapy | FL | LCSW | 90837 (60 min) | $78.46 | January 2025 | submitted |
| Headway | — | — | 90837 (60 min) | $110 | December 2024 | Clinician reported Headway billed BCBS $220 for the session and paid $110; the claim was later denied as too expensive. source |
| Grow Therapy | DC | LMFT | 90837 (60 min) | $87.98 | December 2024 | submitted |
| Headway | CA | — | 90837 (60 min) | $86 | November 2024 | San Francisco. The commenter reports the directly credentialed rate is about the same and that BCBS refused to negotiate. source |
| Direct contract | OR | — | 90837 (60 min) | $137 | November 2024 | Reported as rising to about $148 on December 1, 2024. source |
| Direct contract | IL | — | 90837 (60 min) | $131 | November 2024 | Reported as the BCBS PPO rate, not renegotiated in several years. source |
| Headway | WA | PhD/PsyD | 90837 (60 min) | $152.27 | October 2024 | submitted |
| Grow Therapy | VA | LPC/LMHC | 90837 (60 min) | $117.34 | August 2024 | submitted |
| Direct contract | AZ | LPC/LMHC | 90837 (60 min) | $104.59 | August 2024 | Started at 95.88 and received three raises submitted |
| Headway | CO | LPC/LMHC | 90837 (60 min) | $98 | August 2024 | submitted |
| Direct contract | CA | LCSW | 90837 (60 min) | $100 | August 2024 | submitted |
| Headway | GA | LCSW | 90837 (60 min) | $98 | August 2024 | submitted |
| Alma | MA | LCSW | 90837 (60 min) | $139.18 | August 2024 | * in MA the LCSW is pre licensed. LICSW is the independent licensure submitted |
| Alma | MA | LCSW | 90834 (45 min) | $91 | August 2024 | *licensure in MA is LICSW submitted |
| Direct contract | WA | LCSW | 90837 (60 min) | $120.25 | August 2024 | submitted |
| Direct contract | WA | LCSW | 90837 (60 min) | $135.39 | August 2024 | submitted |
| Headway | TX | LPC/LMHC | 90837 (60 min) | $92.04 | August 2024 | submitted |
| Headway | CA | LMFT | 90837 (60 min) | $86 | August 2024 | submitted |
| Direct contract | VA | LCSW | 90837 (60 min) | $152.66 | August 2024 | submitted |
| Direct contract | RI | LCSW | 90837 (60 min) | $134 | August 2024 | submitted |
| Direct contract | NJ | LPC/LMHC | 90834 (45 min) | $91.54 | July 2024 | submitted |
| Direct contract | NJ | LPC/LMHC | 90837 (60 min) | $137.26 | July 2024 | submitted |
| Direct contract | NJ | LPC/LMHC | 90846 (family, no client) | $110.54 | July 2024 | submitted |
| Direct contract | WA | LPC/LMHC | 90837 (60 min) | $121 | July 2024 | Some report an Increase from this amount? submitted |
| Headway | WI | LPC/LMHC | 90837 (60 min) | $119 | June 2024 | submitted |
| Direct contract | MS | LCSW | 90837 (60 min) | $180 | June 2024 | submitted |
| Direct contract | NV | LMFT | 90837 (60 min) | $142.83 | May 2024 | submitted |
| Direct contract | AR | LPC/LMHC | 90837 (60 min) | $166.19 | April 2024 | submitted |
| Direct contract | CA | PhD/PsyD | 90837 (60 min) | $148.46 | January 2024 | submitted |
| Direct contract | OK | LCSW | 90837 (60 min) | $105.33 | November 2023 | submitted |
| Headway | NJ | LCSW | 90791 (intake) | $115.72 | August 2023 | submitted |
| Headway | NJ | LCSW | 90837 (60 min) | $115 | August 2023 | submitted |
| Headway | NJ | LCSW | 90834 (45 min) | $74 | August 2023 | submitted |
| Headway | CA | LCSW | 90837 (60 min) | $107 | August 2023 | submitted |
| Headway | AZ | PhD/PsyD | 90837 (60 min) | $140 | August 2023 | submitted |
| Direct contract | AZ | PhD/PsyD | 90837 (60 min) | $122 | August 2023 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $149.33 | March 2023 | submitted |
| Direct contract | AZ | LPC/LMHC | 90837 (60 min) | $82.50 | March 2023 | submitted |
| Direct contract | NJ | PhD/PsyD | 90837 (60 min) | $164.71 | August 2022 | submitted |
| Direct contract | TN | LPC/LMHC | 90837 (60 min) | $136 | July 2021 | submitted |
| Direct contract | WI | LPC/LMHC | 90837 (60 min) | $131.98 | May 2021 | submitted |
| Direct contract | MD | LPC/LMHC | 90837 (60 min) | $103 | August 2019 | submitted |
| Direct contract | MS | LPC/LMHC | 90837 (60 min) | $189 | May 2018 | submitted |
| Direct contract | CA | LMFT | 90837 (60 min) | $94.50 | July 2014 | submitted |
| Direct contract | WI | LPC/LMHC | 90837 (60 min) | $131.96 | October 2013 | 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 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.