Payer × CPT
What BCBS pays for a 90791
Therapists reported 25 BCBS rates for CPT 90791 between August 2023 and November 2026. The median was $130, with a range of $81 to $242. The code covers psychiatric diagnostic evaluation, the intake visit.
Reported BCBS 90791: median $130, range $81–$242, middle half $112–$152, about 100% of the 2026 national Medicare reference for a master's-level clinician (25 reports · August 2023 to November 2026 · updated 2026-11-07)
The same payer's reported 90837 median is $121 across 186 reports, which puts 90791 $9 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 91 reports. The 90791 page breaks that figure out by payer, route, license, and state.
BCBS 90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| Tennessee | $149 | $136–$161 | 2 |
| Connecticut | $132 | $132–$132 | 2 |
| New Jersey | $129 | $116–$141 | 2 |
| New York | $121 | $116–$125 | 2 |
| Oklahoma | $104 | $96–$112 | 2 |
| Georgia | $97 | $81–$113 | 2 |
| Texas | $87 | $86–$88 | 2 |
BCBS 90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $147 | $116–$242 | 14 |
| Headway | $112 | $86–$125 | 9 |
BCBS 90791 by license
All 25 BCBS 90791 reports
| Route | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | CT | LCSW | $132.30 | November 2026 | submitted |
| Headway | NC | LCPC/LPCC/LCMHC | $112 | November 2026 | submitted |
| Direct contract | AR | PhD/PsyD | $211.18 | October 2026 | submitted |
| Octave | CA | LCSW | $130 | October 2026 | Allowed amount cross referenced from existing data submitted |
| Headway | MO | LPC/LMHC | $89 | October 2026 | submitted |
| 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 | AL | LPC/LMHC | $136.31 | August 2026 | submitted |
| Direct contract | LA | LPC/LMHC | $121.70 | July 2026 | submitted |
| Direct contract | OR | LCSW | $242.47 | July 2026 | submitted |
| Direct contract | IA | LPC/LMHC | $187.70 | July 2026 | submitted |
| Direct contract | NY | LCSW | $116.02 | March 2026 | submitted |
| Direct contract | TN | LPC/LMHC | $136.40 | March 2026 | submitted |
| Direct contract | TN | LPC/LMHC | $161 | March 2026 | submitted |
| Headway | GA | LPC/LMHC | $113 | January 2026 | submitted |
| Direct contract | MA | LCSW | $152.30 | January 2026 | submitted |
| Headway | TX | LCSW | $88.31 | September 2025 | PPO Plan submitted |
| Headway | TX | LCSW | $86 | September 2025 | HMO Plan submitted |
| Direct contract | IL | LCSW | $187.08 | June 2025 | submitted |
| Direct contract | IN | PhD/PsyD | $227 | May 2025 | submitted |
| Direct contract | NJ | LPC/LMHC | $141.41 | July 2024 | submitted |
| Headway | NJ | LCSW | $115.72 | August 2023 | submitted |
Related: all BCBS reports, 90791 across every payer, and BCBS 90834.