Payer rate page
What Cigna pays therapists
Therapists reported 35 Cigna rates between May 2022 and August 2026. The median for a 90837 was $97 across 23 reports, with a range of $39 to $128. Reports came through Grow Therapy, Alma, and Headway, and from clinicians holding their own Cigna contract, which allows the same code to be compared across routes.
Reported 90837: median $97, range $39–$128 (23 reports · 35 across all CPTs · updated 2026-08-23)
Cigna 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $98 | $62–$106 | 10 |
| LCSW | $95 | $88–$128 | 7 |
| LMFT | $113 | single report | 1 |
Cigna 90837 by route
Reported Cigna medians for a 90837 through Alma and under direct contracts sit within a few dollars of each other. The two samples come from different states, so the comparison is indicative rather than exact.
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $98 | $39–$128 | 13 |
| Alma | $100 | $95–$106 | 4 |
| Headway | $95 | $89–$102 | 3 |
| Grow Therapy | $71 | $68–$74 | 2 |
| Collective Counseling Solutions | $110 | single report | 1 |
Cigna 90837 by state
| State | Median | Range | Reports |
|---|---|---|---|
| North Carolina | $95 | $62–$103 | 3 |
| California | $100 | $88–$113 | 2 |
| Georgia | $88 | $74–$102 | 2 |
| Colorado | $86 | $65–$106 | 2 |
| Florida | $85 | $68–$102 | 2 |
| Arizona | $72 | $39–$106 | 2 |
| District of Columbia | $128 | single report | 1 |
| Connecticut | $111 | single report | 1 |
| Illinois | $100 | single report | 1 |
| Oregon | $98 | single report | 1 |
| Texas | $97 | single report | 1 |
| New Jersey | $95 | single report | 1 |
| Mississippi | $95 | single report | 1 |
| Maryland | $89 | single report | 1 |
Other codes: 90791 (intake) median $111 (3 reports); 90834 (45 min) median $77 (4 reports); 90847 (family, with client) median $77 (2 reports); 90846 (family, no client) median $75 (2 reports).
Cigna by state, in detail
All 35 Cigna reports
| Route | St | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Headway | MD | LCSW | 90837 (60 min) | $89 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90791 (intake) | $87.50 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90834 (45 min) | $62.30 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90837 (60 min) | $73.50 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90846 (family, no client) | $61.60 | August 2026 | submitted |
| Grow Therapy | GA | LPC/LMHC | 90847 (family, with client) | $63.70 | August 2026 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $98 | August 2026 | submitted |
| Alma | GA | LPC/LMHC | 90846 (family, no client) | $88 | August 2026 | submitted |
| Alma | GA | LPC/LMHC | 90847 (family, with client) | $91 | August 2026 | submitted |
| Direct contract | CA | LCSW | 90791 (intake) | $140 | August 2026 | submitted |
| Direct contract | CA | LCSW | 90837 (60 min) | $88 | August 2026 | submitted |
| Direct contract | CA | LCSW | 90834 (45 min) | $80 | August 2026 | submitted |
| Direct contract | AZ | — | 90837 (60 min) | $39 | May 2026 | lowest Cigna rate reported in the thread source |
| Collective Counseling Solutions | — | — | 90837 (60 min) | $110 | May 2026 | contracted via Collective Counseling Solutions source |
| Direct contract | IL | LCSW | 90837 (60 min) | $100 | May 2026 | submitted |
| Direct contract | FL | LPC/LMHC | 90837 (60 min) | $68 | February 2026 | No request for increase until 1 year of current rate. submitted |
| Direct contract | NC | LPC/LMHC | 90837 (60 min) | $62 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90834 (45 min) | $77 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90791 (intake) | $111 | January 2026 | submitted |
| Headway | GA | LPC/LMHC | 90837 (60 min) | $102 | January 2026 | submitted |
| Direct contract | — | LCSW | — | $108 | November 2025 | solo practice, DC/MD/VA source |
| Grow Therapy | — | — | 90837 (60 min) | $68 | September 2025 | source |
| Alma | NC | — | 90837 (60 min) | $95 | September 2025 | masters level; 90834 $79, 90791 $110 source |
| Direct contract | NC | — | 90837 (60 min) | $103 | September 2025 | Evernorth first offer; poster reports negotiable to $115, then $130 before signing source |
| Direct contract | DC | LCSW | 90837 (60 min) | $128 | August 2025 | LICSW; group and individual contracts pay the same source |
| Alma | FL | LPC/LMHC | 90837 (60 min) | $102 | August 2025 | submitted |
| Direct contract | CO | LPC/LMHC | 90837 (60 min) | $65 | August 2025 | submitted |
| Alma | CO | LPC/LMHC | 90837 (60 min) | $106 | August 2025 | submitted |
| Alma | TX | LPC/LMHC | 90837 (60 min) | $97 | January 2025 | submitted |
| Direct contract | AZ | LPC/LMHC | 90837 (60 min) | $106 | August 2024 | Group contract rates. Was $59 for individual contract submitted |
| Direct contract | CA | LMFT | 90837 (60 min) | $113 | August 2024 | Increased from $76 in 2023 or 2024 submitted |
| Direct contract | MS | LCSW | 90837 (60 min) | $95 | June 2024 | submitted |
| Headway | NJ | LCSW | 90837 (60 min) | $95 | August 2023 | submitted |
| Headway | NJ | LCSW | 90834 (45 min) | $77 | August 2023 | submitted |
| Direct contract | CT | LCSW | 90837 (60 min) | $111 | May 2022 | submitted |
Limitations
These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 26% of all reports come from Georgia, where the launch discussion reached furthest. Third, license is missing on 53 of 301 rows. Nevertheless, they are the only public per-payer figures available to a therapist weighing an offer, and every added report narrows the ranges above.