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Payer × CPT

What BCBS pays for a 90846

Therapists reported 4 BCBS rates for CPT 90846 between July 2024 and August 2026. The median was $77, with a range of $44 to $111. The code covers family psychotherapy without the client present, about 50 minutes.

Reported BCBS 90846: median $77, range $44–$111, about 97% of the 2026 national Medicare reference for a master's-level clinician (4 reports · July 2024 to August 2026 · updated 2026-09-07)

The same payer's reported 90837 median is $122 across 142 reports, which puts 90846 $44 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 90846 median is $83 over 16 reports. The 90846 page breaks that figure out by payer, route, license, and state.

BCBS 90846 by state

StateMedianRangeReports
Georgia$52$44–$592

BCBS 90846 by route

RouteMedianRangeReports
Headway$77$59–$952

BCBS 90846 by license

LicenseMedianRangeReports
LPC/LMHC$77$44–$1114

All 4 BCBS 90846 reports

RouteStLicenseRateEffectiveNote / source
Grow TherapyGALPC/LMHC$44August 2026submitted
HeadwayNYLPC/LMHC$95August 2026submitted
HeadwayGALPC/LMHC$59January 2026submitted
Direct contractNJLPC/LMHC$110.54July 2024submitted

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One report a month, one more if BCBS cuts 90846. Never displayed, sold, or shared.

4 reports is a small sample, and the range above is the honest summary. Related: all BCBS reports, 90846 across every payer, and BCBS 90834 · BCBS 90791.