State rate page
What therapists in Texas report being paid
Therapists in Texas reported 36 rates. The median 90837 was $105 across 29 reports. That is $10 below the national median of $115 across 568 reports. Most Texas reports come from licensed professional counselors.
Reported 90837: median $105, range $70–$130, middle half $97–$118, about 84% of the 2026 national Medicare reference for a master's-level clinician (29 reports · 36 across all CPTs · updated 2026-10-07)
Texas 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| BCBS | $105 | $92–$128 | 10 |
| Aetna | $122 | $112–$130 | 8 |
| Optum / UHC | $118 | $103–$120 | 3 |
| Cigna | $97 | $95–$102 | 3 |
| EAP | $72 | $70–$75 | 2 |
| Spring Health | $120 | single report | 1 |
| Ambetter | $115 | single report | 1 |
| Carelon | $107 | single report | 1 |
Texas 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $105 | $70–$130 | 18 |
| LCSW | $116 | $95–$129 | 4 |
| LMFT | $105 | $105–$114 | 3 |
| PhD/PsyD | $128 | single report | 1 |
Texas 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $108 | $94–$128 | 12 |
| Headway | $112 | $92–$130 | 8 |
| Alma | $103 | $75–$120 | 7 |
| Spring Health | $95 | $70–$120 | 2 |
Texas by payer, in detail
All 36 Texas reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Headway | BCBS | LCSW | 90834 (45 min) | $61.28 | October 2026 | submitted |
| Alma | Optum / UHC | LCSW | 90834 (45 min) | $109.80 | October 2026 | submitted |
| Alma | Aetna | LCSW | 90834 (45 min) | $101 | October 2026 | submitted |
| Alma | Cigna | LCSW | 90834 (45 min) | $86 | October 2026 | submitted |
| Direct contract | BCBS | PhD/PsyD | 90837 (60 min) | $127.81 | October 2026 | submitted |
| Alma | Optum / UHC | LPC/LMHC | 90837 (60 min) | $103 | August 2026 | submitted |
| Alma | Aetna | LPC/LMHC | 90837 (60 min) | $112 | August 2026 | submitted |
| Alma | Cigna | LPC/LMHC | 90837 (60 min) | $102 | August 2026 | submitted |
| Alma | Carelon | LPC/LMHC | 90837 (60 min) | $107 | August 2026 | submitted |
| Alma | EAP | LPC/LMHC | 90837 (60 min) | $75 | August 2026 | 75.00 flat rate for every code. submitted |
| Alma | EAP | LPC/LMHC | 90834 (45 min) | $87 | August 2026 | No 90837 available. submitted |
| Direct contract | Aetna | LCSW | 90837 (60 min) | $112.50 | August 2026 | submitted |
| Headway | Aetna | LCSW | 90837 (60 min) | $129 | August 2026 | submitted |
| Headway | Cigna | LCSW | 90837 (60 min) | $95 | August 2026 | submitted |
| Direct contract | BCBS | LMFT | 90837 (60 min) | $104.75 | August 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $104.75 | August 2026 | submitted |
| Direct contract | Optum / UHC | LPC/LMHC | 90837 (60 min) | $117.57 | June 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $104.75 | June 2026 | submitted |
| Direct contract | Aetna | LPC/LMHC | 90837 (60 min) | $112 | March 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $104.75 | January 2026 | Increased from 94.75 submitted |
| Direct contract | BCBS | LMFT | 90837 (60 min) | $104.75 | January 2026 | submitted |
| Headway | Aetna | LPC/LMHC | 90837 (60 min) | $129.74 | October 2025 | submitted |
| Headway | Aetna | LPC/LMHC | 90834 (45 min) | $103 | October 2025 | submitted |
| Headway | BCBS | LPC/LMHC | 90837 (60 min) | $92.04 | October 2025 | submitted |
| Direct contract | Aetna | LMFT | 90837 (60 min) | $114.01 | October 2025 | submitted |
| Headway | BCBS | — | 90837 (60 min) | $92.04 | August 2025 | BCBS PPO, masters level source |
| Headway | Aetna | — | 90837 (60 min) | $129.74 | August 2025 | masters level source |
| Direct contract | BCBS | — | 90837 (60 min) | $93.88 | August 2025 | BCBS PPO and HMO, masters level; Medicare Advantage $124.99 source |
| Lyra Health | Lyra EAP | LPC/LMHC | Other | $95 | March 2025 | Was receiving $115 per EAP session as a contractor with a group practice. Got credentialed on my own and rate was less, $95 submitted |
| Alma | Optum / UHC | LPC/LMHC | 90837 (60 min) | $120 | January 2025 | submitted |
| Direct contract | Ambetter | LPC/LMHC | 90837 (60 min) | $114.93 | January 2025 | submitted |
| Alma | Cigna | LPC/LMHC | 90837 (60 min) | $97 | January 2025 | submitted |
| Headway | BCBS | LPC/LMHC | 90837 (60 min) | $92.04 | August 2024 | submitted |
| Headway | Aetna | LPC/LMHC | 90837 (60 min) | $129.74 | October 2023 | submitted |
| Spring Health | Spring Health | LCSW | 90837 (60 min) | $120 | January 2023 | submitted |
| Spring Health | EAP | LPC/LMHC | 90837 (60 min) | $70 | August 2022 | 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.