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Payer × state
What Optum / UHC pays therapists in Washington
Five therapists in Washington reported Optum / UHC rates. The median 90837 was $150 across 4 reports, with a range of $121 to $159. Across all codes the median was $159, which reflects the 1 report for intakes, shorter sessions, or family codes in the set.
Reported 90837: median $150, range $121–$159, about 119% of the 2026 national Medicare reference for a master's-level clinician (4 reports · 5 across all CPTs)
| Route | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|
| Direct contract | LCSW | 90837 (60 min) | $159 | December 2025 | United/Optum, group practice, western WA; group Cigna $117 source |
| Headway | LPC/LMHC | 90837 (60 min) | $120.55 | August 2025 | United source |
| Direct contract | LCSW | 90791 (intake) | $180.89 | July 2025 | submitted |
| Direct contract | LCSW | 90837 (60 min) | $159.45 | July 2025 | submitted |
| Direct contract | LPC/LMHC | 90837 (60 min) | $140 | June 2024 | submitted |
4 reports is a small sample, and the range above is the honest summary. Related: all Optum / UHC reports, all Washington reports.