State rate page
What therapists in Iowa report being paid
Therapists in Iowa reported 9 rates. The median 90837 was $110 across 7 reports. That is $5 below the national median of $115 across 568 reports.
Reported 90837: median $110, range $89–$181, about 88% of the 2026 national Medicare reference for a master's-level clinician (7 reports · 9 across all CPTs · updated 2026-10-06)
Iowa 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| Optum / UHC | $107 | $89–$110 | 4 |
| BCBS | $181 | $173–$181 | 3 |
Iowa 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LCSW | $110 | $105–$181 | 3 |
| LPC/LMHC | $145 | $109–$181 | 2 |
Iowa 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $110 | $89–$181 | 7 |
Iowa by payer, in detail
All 9 Iowa reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | BCBS | LCSW | 90837 (60 min) | $180.80 | August 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $180.80 | July 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90791 (intake) | $187.70 | July 2026 | submitted |
| Lyra Health | Lyra | LCSW | Other | $100 | April 2026 | 100/session flat fee for virtual. 140 for in-person. submitted |
| Direct contract | Optum / UHC | LCSW | 90837 (60 min) | $104.79 | February 2026 | submitted |
| Direct contract | BCBS | — | 90837 (60 min) | $172.90 | August 2025 | masters level; 90791 $187.10, 90834 $116.70 source |
| Direct contract | Optum / UHC | — | 90837 (60 min) | $89.25 | August 2025 | UHC, masters level source |
| Direct contract | Optum / UHC | LCSW | 90837 (60 min) | $110 | February 2025 | Had received $150 as a single provider agreement os OON, then became part of the UHC network and receive $110 for 90837. submitted |
| Direct contract | Optum / UHC | LPC/LMHC | 90837 (60 min) | $109.25 | January 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-state reports describe this sample; additional reports can change the median and widen the range. How this data is collected and checked.