State rate page
What therapists in Texas report being paid
Therapists in Texas reported 12 rates. The median 90837 was $112 across 11 reports. Among states with more than ten reports, medians run from $95 in Georgia to $153 in Oregon. Most Texas reports come from licensed professional counselors.
Reported 90837: median $112, range $92–$130 (11 reports · 12 across all CPTs · updated 2026-08-23)
Texas 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| BCBS | $92 | $92–$94 | 3 |
| Aetna | $130 | $130–$130 | 2 |
| Optum / UHC | $120 | single report | 1 |
| Ambetter | $115 | single report | 1 |
| Cigna | $97 | single report | 1 |
Texas 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $112 | $92–$130 | 7 |
| LCSW | $120 | single report | 1 |
Texas 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Headway | $111 | $92–$130 | 4 |
| Direct contract | $108 | $94–$115 | 4 |
| Alma | $108 | $97–$120 | 2 |
| Spring Health | $120 | single report | 1 |
Texas by payer, in detail
All 12 Texas reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | — | LPC/LMHC | 90837 (60 min) | $112 | March 2026 | submitted |
| Direct contract | — | LPC/LMHC | 90837 (60 min) | $104.75 | January 2026 | Increased from 94.75 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 |
| 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 |
| 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 |
| Spring Health | — | LCSW | 90837 (60 min) | $120 | January 2023 | 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.