Payer rate page
What Medicare pays therapists
Therapists reported 5 Medicare rates between April 2024 and August 2026. The median for a 90837 was $124 across 5 reports, with a range of $77 to $163.
Reported 90837: median $124, range $77–$163, about 99% of the 2026 national Medicare reference for a master's-level clinician (5 reports · 5 across all CPTs · updated 2026-10-08)
Medicare 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LCSW | $123 | $121–$124 | 2 |
| MD/DO | $163 | single report | 1 |
| LPC/LMHC | $77 | single report | 1 |
Medicare 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $124 | $77–$163 | 5 |
Medicare 90837 by state
| State | Median | Range | Reports |
|---|---|---|---|
| Oregon | $116 | $77–$154 | 2 |
| Kentucky | $163 | single report | 1 |
| New Hampshire | $124 | single report | 1 |
| Indiana | $121 | single report | 1 |
All 5 Medicare reports
| Route | St | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | OR | LPC/LMHC | 90837 (60 min) | $77 | August 2026 | submitted |
| Direct contract | KY | MD/DO | 90837 (60 min) | $163 | August 2026 | submitted |
| Direct contract | IN | LCSW | 90837 (60 min) | $120.84 | January 2026 | submitted |
| Direct contract | OR | — | 90837 (60 min) | $154.29 | August 2025 | group contract; 90791 $166.91 source |
| Direct contract | NH | LCSW | 90837 (60 min) | $124.48 | April 2024 | 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.