Payer × CPT
What Cigna pays for a 90791
Therapists reported 12 Cigna rates for CPT 90791 between January 2024 and November 2026. The median was $103, with a range of $60 to $286. The code covers psychiatric diagnostic evaluation, the intake visit.
Reported Cigna 90791: median $103, range $60–$286, middle half $84–$118, about 79% of the 2026 national Medicare reference for a master's-level clinician (12 reports · January 2024 to November 2026 · updated 2026-11-12)
The same payer's reported 90837 median is $95 across 106 reports, which puts 90791 $8 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.
Cigna 90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| California | $122 | $101–$286 | 4 |
| Georgia | $99 | $88–$111 | 2 |
| North Carolina | $86 | $60–$111 | 2 |
Cigna 90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $108 | $60–$286 | 6 |
| Headway | $111 | $105–$111 | 3 |
| Grow Therapy | $88 | $88–$88 | 2 |
Cigna 90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $88 | $75–$148 | 5 |
| LCPC/LPCC/LCMHC | $105 | $60–$111 | 3 |
All 12 Cigna 90791 reports
| Route | St | License | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Headway | NC | LCPC/LPCC/LCMHC | $111 | November 2026 | submitted |
| Direct contract | NC | LCPC/LPCC/LCMHC | $60 | November 2026 | submitted |
| Headway | CA | LCPC/LPCC/LCMHC | $105 | November 2026 | submitted |
| Direct contract | — | — | $60 | November 2026 | Contract offer received, per commenter; not accepted at time of comment. source |
| Grow Therapy | GA | LPC/LMHC | $87.50 | August 2026 | submitted |
| Direct contract | CA | LCSW | $140 | August 2026 | submitted |
| Direct contract | CT | LPC/LMHC | $148 | August 2026 | submitted |
| Grow Therapy | MD | LPC/LMHC | $87.50 | August 2026 | submitted |
| Direct contract | AL | LPC/LMHC | $75 | August 2026 | submitted |
| Headway | GA | LPC/LMHC | $111 | January 2026 | submitted |
| Tava Health | CA | LMFT | $101 | January 2026 | submitted |
| Direct contract | CA | PhD/PsyD | $286.34 | January 2024 | submitted |
Related: all Cigna reports, 90791 across every payer, and Cigna 90834.