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What Medicaid pays therapists in California
Ten therapists in California reported Medicaid rates. The median 90837 was $133 across 7 reports, with a range of $100 to $195. Across all codes the median was $132, which reflects the 3 reports for intakes, shorter sessions, or family codes in the set.
Reported 90837: median $133, range $100–$195, about 106% of the 2026 national Medicare reference for a master's-level clinician (7 reports · 10 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | LMFT | 90837 (60 min) | $131.97 | August 2026 | submitted |
| Direct contract | LMFT | 90834 (45 min) | $89.64 | August 2026 | submitted |
| Direct contract | — | 90837 (60 min) | $175 | November 2025 | Alameda County Medi-Cal, 53-minute session source |
| Direct contract | — | — | $65 | November 2025 | Santa Cruz County Medi-Cal, secondhand report source |
| Direct contract | — | 90837 (60 min) | $131.97 | October 2025 | Medi-Cal, most payors source |
| Direct contract | — | 90834 (45 min) | $90 | October 2025 | Medi-Cal source |
| Direct contract | — | 90837 (60 min) | $171 | October 2025 | one CA county's Medi-Cal rate source |
| Direct contract | — | 90837 (60 min) | $99.98 | October 2025 | Medi-Cal via Health Net source |
| Direct contract | LCSW | 90837 (60 min) | $195 | May 2025 | submitted |
| Direct contract | LCSW | 90837 (60 min) | $133 | January 2025 | Add-on code for Telehealth t1014 ($0.24 per minute) submitted |
7 reports is a small sample, and the range above is the honest summary. Related: all Medicaid reports, all California reports.