Payer × CPT
What Cigna pays for a 90791
Therapists reported 6 Cigna rates for CPT 90791 between January 2026 and August 2026. The median was $106, with a range of $88 to $148. The code covers psychiatric diagnostic evaluation, the intake visit.
Reported Cigna 90791: median $106, range $88–$148, about 82% of the 2026 national Medicare reference for a master's-level clinician (6 reports · January 2026 to August 2026 · updated 2026-09-27)
The same payer's reported 90837 median is $95 across 65 reports, which puts 90791 $11 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 60 reports. The 90791 page breaks that figure out by payer, route, license, and state.
Cigna 90791 by state
| State | Median | Range | Reports |
|---|---|---|---|
| California | $120 | $101–$140 | 2 |
| Georgia | $99 | $88–$111 | 2 |
Cigna 90791 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $144 | $140–$148 | 2 |
| Grow Therapy | $88 | $88–$88 | 2 |
Cigna 90791 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $99 | $88–$148 | 4 |
All 6 Cigna 90791 reports
| Route | St | License | Rate | Effective | Note / 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 |
| Headway | GA | LPC/LMHC | $111 | January 2026 | submitted |
| Tava Health | CA | LMFT | $101 | January 2026 | submitted |
6 reports is a small sample, and the range above is the honest summary. Related: all Cigna reports, 90791 across every payer, and Cigna 90834.