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What Cigna pays therapists in North Carolina
Four therapists in North Carolina reported Cigna rates. The median 90837 was $99 across 4 reports, with a range of $62 to $109.
Reported 90837: median $99, range $62–$109, about 79% of the 2026 national Medicare reference for a master's-level clinician (4 reports · 4 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | LPC/LMHC | 90837 (60 min) | $109.18 | August 2026 | submitted |
| Direct contract | LPC/LMHC | 90837 (60 min) | $62 | January 2026 | submitted |
| Alma | — | 90837 (60 min) | $95 | September 2025 | masters level; 90834 $79, 90791 $110 source |
| Direct contract | — | 90837 (60 min) | $103 | September 2025 | Evernorth first offer; poster reports negotiable to $115, then $130 before signing source |
4 reports is a small sample, and the range above is the honest summary. Related: all Cigna reports, all North Carolina reports.