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What Cigna pays therapists in Texas

Five therapists in Texas reported Cigna rates. The median 90837 was $100 across 4 reports, with a range of $95 to $102. Across all codes the median was $97, which reflects the 1 report for intakes, shorter sessions, or family codes in the set.

Reported 90837: median $100, range $95–$102, about 79% of the 2026 national Medicare reference for a master's-level clinician (4 reports · 5 across all CPTs)

RouteLicenseCPTRateEffectiveNote / source
AlmaLCSW90834 (45 min)$86October 2026submitted
AlmaLCSW90837 (60 min)$102October 2026submitted
AlmaLPC/LMHC90837 (60 min)$102August 2026submitted
HeadwayLCSW90837 (60 min)$95August 2026submitted
AlmaLPC/LMHC90837 (60 min)$97January 2025submitted

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One report a month, one more if Cigna cuts in Texas. Never displayed, sold, or shared.

4 reports is a small sample, and the range above is the honest summary. Related: all Cigna reports, all Texas reports.