Payer × CPT

What Optum / UHC pays for a 90791

Therapists reported 12 Optum / UHC rates for CPT 90791 between July 2023 and August 2026. The median was $131, with a range of $101 to $181. The code covers psychiatric diagnostic evaluation, the intake visit.

Reported Optum / UHC 90791: median $131, range $101–$181, middle half $119–$139, about 101% of the 2026 national Medicare reference for a master's-level clinician (12 reports · July 2023 to August 2026 · updated 2026-10-21)

The same payer's reported 90837 median is $116 across 116 reports, which puts 90791 $15 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 91 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–$181	6
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	$134	$123–$181	4

All 12 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
Direct contract	TX	LCSW	$131.15	May 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
Direct contract	WA	LCSW	$180.89	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