State rate page
What therapists in Massachusetts report being paid
Therapists in Massachusetts reported 32 rates. The median 90837 was $139 across 24 reports. That is $24 above the national median of $115 across 568 reports. Most Massachusetts reports come from clinicians holding the LCSW.
Reported 90837: median $139, range $69–$185, middle half $124–$141, about 111% of the 2026 national Medicare reference for a master's-level clinician (24 reports · 32 across all CPTs · updated 2026-09-26)
Massachusetts 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| BCBS | $139 | $131–$140 | 7 |
| Aetna | $126 | $111–$185 | 5 |
| Harvard Pilgrim | $141 | $141–$141 | 2 |
| Optum / UHC | $137 | $133–$141 | 2 |
| EAP | $185 | single report | 1 |
| Fallon Health | $141 | single report | 1 |
| Massachusetts Behavioral Health Partnership (MBHP) | $126 | single report | 1 |
| Community Care Alliance | $120 | single report | 1 |
| Tufts Health Public Plan | $114 | single report | 1 |
| All payers (flat) | $90 | single report | 1 |
| Cigna | $69 | single report | 1 |
Massachusetts 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LCSW | $139 | $75–$144 | 16 |
| LPC/LMHC | $133 | $69–$141 | 4 |
| PhD/PsyD | $185 | $90–$185 | 3 |
| LCPC/LPCC/LCMHC | $111 | single report | 1 |
Massachusetts 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $139 | $69–$144 | 14 |
| Alma | $130 | $126–$139 | 4 |
| Headway | $158 | $131–$185 | 2 |
| Lyra Health | $185 | single report | 1 |
| SonderMind | $111 | single report | 1 |
| Rula | $90 | single report | 1 |
| Talkspace | $75 | single report | 1 |
Massachusetts by payer, in detail
All 32 Massachusetts reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | BCBS | LCSW | 90837 (60 min) | $140.12 | September 2026 | This is for an independently licensed clinician as a sole proprietor in private practice (LICSW) submitted |
| Alma | Aetna | LPC/LMHC | 90791 (intake) | $126 | August 2026 | submitted |
| Alma | Aetna | LPC/LMHC | 90837 (60 min) | $126 | August 2026 | submitted |
| Alma | Aetna | LCSW | 90837 (60 min) | $126 | August 2026 | Cut from $146 last month submitted |
| Alma | Aetna | LCSW | 90834 (45 min) | $110 | August 2026 | Cut from $118 or $126 last month submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $139.06 | August 2026 | submitted |
| Direct contract | Cigna | LPC/LMHC | 90837 (60 min) | $69 | August 2026 | submitted |
| Direct contract | Optum / UHC | LPC/LMHC | 90837 (60 min) | $141.08 | August 2026 | submitted |
| Direct contract | Aetna | LCSW | 90837 (60 min) | $144.08 | August 2026 | submitted |
| Talkspace | — | LCSW | 90837 (60 min) | $75 | August 2026 | submitted |
| Lyra Health | Lyra | LCSW | Other | $115 | August 2026 | For 45+ minute session. Lyra will not give an increase once contracted (even if requested after 2 years as they state). submitted |
| Direct contract | Harvard Pilgrim | LCSW | 90837 (60 min) | $140.55 | August 2026 | submitted |
| Direct contract | Fallon Health | LCSW | 90837 (60 min) | $141.09 | August 2026 | submitted |
| Direct contract | Tufts Health Public Plan | LCSW | 90837 (60 min) | $114.26 | August 2026 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $139.06 | August 2026 | submitted |
| SonderMind | Aetna | LCPC/LPCC/LCMHC | 90837 (60 min) | $111 | August 2026 | submitted |
| Headway | Aetna | PhD/PsyD | 90837 (60 min) | $185 | June 2026 | submitted |
| Direct contract | Community Care Alliance | LCSW | 90837 (60 min) | $120 | June 2026 | submitted |
| Direct contract | Massachusetts Behavioral Health Partnership (MBHP) | LCSW | 90837 (60 min) | $125.69 | May 2026 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $139.06 | April 2026 | Small decrease submitted |
| Direct contract | Harvard Pilgrim | LCSW | 90837 (60 min) | $140.55 | April 2026 | submitted |
| Direct contract | BCBS | LCSW | 90791 (intake) | $152.30 | January 2026 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $139.06 | January 2026 | submitted |
| Headway | BCBS | LCSW | 90837 (60 min) | $131 | January 2026 | submitted |
| Direct contract | BCBS | PhD/PsyD | 90834 (45 min) | $135.19 | September 2025 | submitted |
| Direct contract | BCBS | LCSW | 90834 (45 min) | $101.98 | September 2025 | submitted |
| Alma | Optum / UHC | LCSW | 90837 (60 min) | $133 | August 2025 | *cut sometime last year from $142 or so submitted |
| Alma | Optum / UHC | LCSW | 90834 (45 min) | $107 | August 2025 | Cut from $118 or so in the last year submitted |
| Rula | All payers (flat) | PhD/PsyD | 90837 (60 min) | $90 | January 2025 | submitted |
| Alma | BCBS | LCSW | 90837 (60 min) | $139.18 | August 2024 | * in MA the LCSW is pre licensed. LICSW is the independent licensure submitted |
| Alma | BCBS | LCSW | 90834 (45 min) | $91 | August 2024 | *licensure in MA is LICSW submitted |
| Lyra Health | EAP | PhD/PsyD | 90837 (60 min) | $185 | June 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.