Payer × state
What Cigna pays therapists in California
Thirteen therapists in California reported Cigna rates. The median 90837 was $95 across 7 reports, with a range of $74 to $141. Across all codes the median was $88, which reflects the 6 reports for intakes, shorter sessions, or family codes in the set.
Reported 90837: median $95, range $74–$141, about 76% of the 2026 national Medicare reference for a master's-level clinician (7 reports · 13 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Headway | LMFT | 90834 (45 min) | $76 | October 2026 | submitted |
| Direct contract | LCSW | 90791 (intake) | $140 | August 2026 | submitted |
| Direct contract | LCSW | 90837 (60 min) | $88 | August 2026 | submitted |
| Direct contract | LCSW | 90834 (45 min) | $80 | August 2026 | submitted |
| Direct contract | LMFT | 90837 (60 min) | $74 | July 2026 | submitted |
| Tava Health | LMFT | 90837 (60 min) | $86 | January 2026 | submitted |
| Tava Health | LMFT | 90791 (intake) | $101 | January 2026 | submitted |
| Tava Health | LMFT | 90834 (45 min) | $58 | January 2026 | submitted |
| Headway | LMFT | 90837 (60 min) | $95 | December 2025 | submitted |
| Direct contract | LMFT | 90837 (60 min) | $113 | August 2024 | Increased from $76 in 2023 or 2024 submitted |
| Headway | LMFT | 90837 (60 min) | $95 | August 2024 | submitted |
| Direct contract | LMFT | 90837 (60 min) | $141 | August 2023 | submitted |
| Headway | LCSW | 90834 (45 min) | $76 | January 2023 | submitted |
7 reports is a small sample, and the range above is the honest summary. Related: all Cigna reports, all California reports.