Payer × CPT
What BCBS pays for a 90791
Therapists reported 12 BCBS rates for CPT 90791 between August 2023 and August 2026. The median was $119, with a range of $81 to $227. The code covers psychiatric diagnostic evaluation, the intake visit.
Reported BCBS 90791: median $119, range $81–$227, middle half $113–$137, about 91% of the 2026 national Medicare reference for a master's-level clinician (12 reports · August 2023 to August 2026 · updated 2026-09-27)
The same payer's reported 90837 median is $122 across 131 reports, which puts 90791 $3 below 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.
BCBS 90791 by state
BCBS 90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $142 | $116–$227 | 6 |
| Headway | $113 | $96–$125 | 5 |
BCBS 90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $113 | $81–$132 | 7 |
| LCSW | $134 | $116–$187 | 4 |
All 12 BCBS 90791 reports
| Route | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Grow Therapy | GA | LPC/LMHC | $81.35 | August 2026 | submitted |
| Headway | NY | LPC/LMHC | $125 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | $96.25 | August 2026 | submitted |
| Headway | OK | LPC/LMHC | $111.99 | August 2026 | submitted |
| Direct contract | CT | LPC/LMHC | $132.30 | August 2026 | submitted |
| Direct contract | LA | LPC/LMHC | $121.70 | July 2026 | submitted |
| Direct contract | NY | LCSW | $116.02 | March 2026 | submitted |
| Headway | GA | LPC/LMHC | $113 | January 2026 | submitted |
| Direct contract | MA | LCSW | $152.30 | January 2026 | submitted |
| Direct contract | IL | LCSW | $187.08 | June 2025 | submitted |
| Direct contract | IN | PhD/PsyD | $227 | May 2025 | submitted |
| Headway | NJ | LCSW | $115.72 | August 2023 | submitted |
Related: all BCBS reports, 90791 across every payer, and BCBS 90834.