Payer × state
What BCBS pays therapists in Iowa
Five therapists in Iowa reported BCBS rates. The median 90837 was $181 across 3 reports, with a range of $173 to $181. Across all codes the median was $181, which reflects the 2 reports for intakes, shorter sessions, or family codes in the set.
Reported 90837: median $181, range $173–$181, about 144% of the 2026 national Medicare reference for a master's-level clinician (3 reports · 5 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | LCSW | 90837 (60 min) | $180.80 | August 2026 | submitted |
| Direct contract | LPC/LMHC | 90837 (60 min) | $180.80 | July 2026 | submitted |
| Direct contract | LPC/LMHC | 90791 (intake) | $187.70 | July 2026 | submitted |
| Direct contract | LPC/LMHC | 90834 (45 min) | $123.30 | July 2026 | Rates went up for 90834 slightly in July 2026 submitted |
| Direct contract | — | 90837 (60 min) | $172.90 | August 2025 | masters level; 90791 $187.10, 90834 $116.70 source |
3 reports is a small sample, and the range above is the honest summary. Related: all BCBS reports, all Iowa reports.