Payer × state
What Cigna pays therapists in Washington
Three therapists in Washington reported Cigna rates. The median 90837 was $106 across 3 reports, with a range of $99 to $108.
Reported 90837: median $106, range $99–$108, about 85% of the 2026 national Medicare reference for a master's-level clinician (3 reports · 3 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | LCSW | 90837 (60 min) | $99 | October 2026 | submitted |
| Direct contract | LCSW | 90837 (60 min) | $106 | February 2026 | submitted |
| Direct contract | LPC/LMHC | 90837 (60 min) | $108 | January 2026 | Applied for an increase and they gave me a $3 more (previous rate was $105) submitted |
3 reports is a small sample, and the range above is the honest summary. Related: all Cigna reports, all Washington reports.