State rate page
What therapists in North Carolina report being paid
Therapists in North Carolina reported 8 rates. The median 90837 was $109 across 8 reports. Among states with more than ten reports, medians run from $95 in Georgia to $153 in Oregon.
Reported 90837: median $109, range $62–$138 (8 reports · 8 across all CPTs · updated 2026-08-23)
North Carolina 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| Cigna | $95 | $62–$103 | 3 |
| BCBS | $138 | single report | 1 |
| Aetna | $130 | single report | 1 |
| Optum / UHC | $117 | single report | 1 |
| EAP | $115 | single report | 1 |
| Ambetter | $103 | single report | 1 |
North Carolina 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $109 | $62–$138 | 4 |
North Carolina 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $103 | $62–$138 | 4 |
| Alma | $117 | $95–$130 | 3 |
| Spring Health | $115 | single report | 1 |
North Carolina by payer, in detail
All 8 North Carolina reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $138 | January 2026 | submitted |
| Direct contract | Cigna | LPC/LMHC | 90837 (60 min) | $62 | January 2026 | submitted |
| Direct contract | Ambetter | LPC/LMHC | 90837 (60 min) | $103 | October 2025 | submitted |
| Alma | Optum / UHC | — | 90837 (60 min) | $116.80 | September 2025 | masters level; 90834 $101.30, 90791 $119.72 source |
| Alma | Aetna | — | 90837 (60 min) | $129.74 | September 2025 | masters level; 90834 $103, 90791 $132.28 source |
| Alma | Cigna | — | 90837 (60 min) | $95 | September 2025 | masters level; 90834 $79, 90791 $110 source |
| Direct contract | Cigna | — | 90837 (60 min) | $103 | September 2025 | Evernorth first offer; poster reports negotiable to $115, then $130 before signing source |
| Spring Health | EAP | LPC/LMHC | 90837 (60 min) | $115 | May 2025 | Up from $95 in 2024; applied for several raises. submitted |
Limitations
These figures have three limitations. First, every rate is self-reported and unverified. Second, the sample is self-selected: 26% of all reports come from Georgia, where the launch discussion reached furthest. Third, license is missing on 53 of 301 rows. Nevertheless, they are the only public per-state figures available to a therapist weighing an offer, and every added report narrows the ranges above.