Payer × CPT

What Optum / UHC pays for a 90791

Therapists reported 10 Optum / UHC rates for CPT 90791 between July 2023 and August 2026. The median was $127, with a range of $101 to $157. The code covers psychiatric diagnostic evaluation, the intake visit.

Reported Optum / UHC 90791: median $127, range $101–$157, middle half $115–$138, about 98% of the 2026 national Medicare reference for a master's-level clinician (10 reports · July 2023 to August 2026 · updated 2026-09-27)

The same payer's reported 90837 median is $116 across 79 reports, which puts 90791 $11 above it. Holding the payer constant leaves differences in state, license, route, and reporting period between the samples. Both figures remain self-reported.

Across every payer in the set, the reported 90791 median is $121 over 60 reports. The 90791 page breaks that figure out by payer, route, license, and state.

Optum / UHC 90791 by state

State	Median	Range	Reports
New Jersey	$130	$123–$138	2
California	$121	$105–$137	2
Georgia	$117	$113–$121	2

Optum / UHC 90791 by route

Route	Median	Range	Reports
Direct contract	$137	$131–$157	4
Alma	$132	$121–$143	2
Headway	$118	$113–$123	2

Optum / UHC 90791 by license

License	Median	Range	Reports
LPC/LMHC	$131	$113–$157	5
LCSW	$130	$123–$137	2

All 10 Optum / UHC 90791 reports

Route	St	License	Rate	Effective	Note / source
Alma	GA	LPC/LMHC	$121.24	August 2026	submitted
Direct contract	CA	LCSW	$137.10	August 2026	submitted
Direct contract	CT	LPC/LMHC	$156.57	August 2026	submitted
Grow Therapy	MD	LCPC/LPCC/LCMHC	$101.06	August 2026	submitted
Direct contract	LA	LPC/LMHC	$131.15	July 2026	submitted
Headway	GA	LPC/LMHC	$113	January 2026	submitted
Tava Health	CA	LMFT	$105	January 2026	submitted
Alma	RI	PhD/PsyD	$143.06	July 2025	submitted
Headway	NJ	LCSW	$123	August 2023	submitted
Direct contract	NJ	LPC/LMHC	$137.70	July 2023	submitted

Add your Optum / UHC 90791 rate See these rows in the full table