Payer rate page
What Medicaid pays therapists
Therapists reported 36 Medicaid rates between August 2020 and October 2026. The median for a 90837 was $121 across 32 reports, with a range of $60 to $220. Reports came through Group Practice and Headway, and from clinicians holding their own Medicaid contract, which allows the same code to be compared across routes.
Reported 90837: median $121, range $60–$220, middle half $108–$172, about 96% of the 2026 national Medicare reference for a master's-level clinician (32 reports · 36 across all CPTs · updated 2026-10-08)
Medicaid 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $113 | $88–$201 | 9 |
| LCSW | $120 | $105–$200 | 8 |
| LMFT | $120 | $108–$132 | 2 |
| LCPC/LPCC/LCMHC | $109 | single report | 1 |
| Pre-licensed | $60 | single report | 1 |
Medicaid 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $121 | $60–$220 | 30 |
| Headway | $200 | single report | 1 |
| Group Practice | $105 | single report | 1 |
Medicaid 90837 by state
| State | Median | Range | Reports |
|---|---|---|---|
| California | $133 | $100–$195 | 7 |
| Oregon | $185 | $173–$201 | 5 |
| Colorado | $125 | $105–$130 | 5 |
| Connecticut | $105 | $105–$106 | 2 |
| New Mexico | $220 | single report | 1 |
| Washington | $123 | single report | 1 |
| Hawaii | $119 | single report | 1 |
| New Hampshire | $118 | single report | 1 |
| South Carolina | $117 | single report | 1 |
| Kansas | $115 | single report | 1 |
| Virginia | $113 | single report | 1 |
| Maine | $109 | single report | 1 |
| Nevada | $108 | single report | 1 |
| Montana | $107 | single report | 1 |
| Louisiana | $88 | single report | 1 |
| Michigan | $81 | single report | 1 |
| Tennessee | $60 | single report | 1 |
Other codes: 90834 (45 min) median $90 (3 reports).
Medicaid by state, in detail
All 36 Medicaid reports
| Route | St | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | HI | LPC/LMHC | 90837 (60 min) | $118.70 | October 2026 | submitted |
| Direct contract | TN | Pre-licensed | 90837 (60 min) | $60 | September 2026 | submitted |
| Direct contract | KS | LCSW | 90837 (60 min) | $115 | August 2026 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $201.28 | August 2026 | Used to be 184 until billed rate raised to 220 submitted |
| Direct contract | CA | LMFT | 90837 (60 min) | $131.97 | August 2026 | submitted |
| Direct contract | CA | LMFT | 90834 (45 min) | $89.64 | August 2026 | submitted |
| Headway | OR | LCSW | 90837 (60 min) | $200 | August 2026 | submitted |
| Direct contract | VA | LPC/LMHC | 90837 (60 min) | $113 | August 2026 | submitted |
| Direct contract | CT | LPC/LMHC | 90837 (60 min) | $105.68 | August 2026 | submitted |
| Direct contract | CT | LPC/LMHC | 90834 (45 min) | $70.48 | August 2026 | submitted |
| Direct contract | MT | LCSW | 90837 (60 min) | $107.40 | July 2026 | submitted |
| Direct contract | WA | LCSW | 90837 (60 min) | $122.51 | July 2026 | submitted |
| Direct contract | CO | — | 90837 (60 min) | $130 | May 2026 | source |
| Direct contract | MI | — | 90837 (60 min) | $81.28 | January 2026 | Meridian Medicaid, group; below state Medicaid minimum per poster source |
| Direct contract | CT | LCSW | 90837 (60 min) | $105 | January 2026 | submitted |
| Direct contract | ME | LCPC/LPCC/LCMHC | 90837 (60 min) | $108.64 | January 2026 | submitted |
| Direct contract | SC | — | 90837 (60 min) | $117.43 | November 2025 | SC Medicaid published rate per poster source |
| Direct contract | CA | — | 90837 (60 min) | $175 | November 2025 | Alameda County Medi-Cal, 53-minute session source |
| Direct contract | CA | — | — | $65 | November 2025 | Santa Cruz County Medi-Cal, secondhand report source |
| Direct contract | CA | — | 90837 (60 min) | $131.97 | October 2025 | Medi-Cal, most payors source |
| Direct contract | CA | — | 90834 (45 min) | $90 | October 2025 | Medi-Cal source |
| Direct contract | CA | — | 90837 (60 min) | $171 | October 2025 | one CA county's Medi-Cal rate source |
| Direct contract | CA | — | 90837 (60 min) | $99.98 | October 2025 | Medi-Cal via Health Net source |
| Direct contract | NM | — | 90837 (60 min) | $220 | September 2025 | LMSW, group practice source |
| Direct contract | OR | — | 90837 (60 min) | $184.66 | August 2025 | OHP open-card base rate; CareOregon Tier 2 $203 source |
| Direct contract | CO | LPC/LMHC | 90837 (60 min) | $113 | August 2025 | submitted |
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $184.66 | August 2025 | submitted |
| Direct contract | LA | LPC/LMHC | 90837 (60 min) | $88.10 | July 2025 | submitted |
| Direct contract | CA | LCSW | 90837 (60 min) | $195 | May 2025 | submitted |
| Direct contract | CA | LCSW | 90837 (60 min) | $133 | January 2025 | Add-on code for Telehealth t1014 ($0.24 per minute) submitted |
| Direct contract | OR | — | 90837 (60 min) | $173 | November 2024 | Oregon Health Plan noncontracted rate, Portland metro. source |
| Direct contract | CO | — | 90837 (60 min) | $125 | November 2024 | Independently credentialed, in-network regions. source |
| Group Practice | CO | LPC/LMHC | 90837 (60 min) | $105 | August 2024 | submitted |
| Direct contract | NV | LMFT | 90837 (60 min) | $108.10 | May 2024 | submitted |
| Direct contract | NH | LCSW | 90837 (60 min) | $118.38 | January 2023 | submitted |
| Direct contract | CO | LPC/LMHC | 90837 (60 min) | $125 | August 2020 | submitted |
Limitations
These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 14% of all reports come from California. Third, license is missing on 66 of 789 rows. These per-payer reports describe this sample; additional reports can change the median and widen the range. How this data is collected and checked.