Payer rate page
What Medicaid pays therapists
Therapists reported 18 Medicaid rates between August 2024 and August 2026. The median for a 90837 was $124 across 16 reports, with a range of $81 to $220. Reports came through Group Practice, and from clinicians holding their own Medicaid contract, which allows the same code to be compared across routes.
Reported 90837: median $124, range $81–$220 (16 reports · 18 across all CPTs · updated 2026-08-23)
Medicaid 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $113 | $88–$201 | 5 |
| LCSW | $110 | $105–$115 | 2 |
Medicaid 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $130 | $81–$220 | 15 |
| Group Practice | $105 | single report | 1 |
Medicaid 90837 by state
| State | Median | Range | Reports |
|---|---|---|---|
| California | $151 | $100–$175 | 4 |
| Oregon | $185 | $185–$201 | 3 |
| Colorado | $113 | $105–$130 | 3 |
| New Mexico | $220 | single report | 1 |
| South Carolina | $117 | single report | 1 |
| Kansas | $115 | single report | 1 |
| Connecticut | $105 | single report | 1 |
| Louisiana | $88 | single report | 1 |
| Michigan | $81 | single report | 1 |
Other codes: 90834 (45 min) median $90 (1 report).
Medicaid by state, in detail
All 18 Medicaid reports
| Route | St | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| 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 | 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 | 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 |
| Group Practice | CO | LPC/LMHC | 90837 (60 min) | $105 | August 2024 | submitted |
Limitations
These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 26% of all reports come from Georgia, where the launch discussion reached furthest. Third, license is missing on 53 of 301 rows. Nevertheless, they are the only public per-payer figures available to a therapist weighing an offer, and every added report narrows the ranges above.