State rate page
What therapists in Virginia report being paid
Therapists in Virginia reported 16 rates. The median 90837 was $113 across 16 reports. That is $2 below the national median of $115 across 568 reports.
Reported 90837: median $113, range $74–$171, middle half $108–$132, about 91% of the 2026 national Medicare reference for a master's-level clinician (16 reports · 16 across all CPTs · updated 2026-09-24)
Virginia 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| BCBS | $150 | $113–$171 | 7 |
| Aetna | $101 | $95–$110 | 3 |
| Optum / UHC | $115 | $110–$120 | 2 |
| Carefirst | $113 | single report | 1 |
| Medicaid | $113 | single report | 1 |
| Cigna | $102 | single report | 1 |
| Tricare | $74 | single report | 1 |
Virginia 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $113 | $102–$171 | 7 |
| LCSW | $113 | $95–$171 | 7 |
Virginia 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $113 | $74–$171 | 11 |
| Alma | $115 | $110–$120 | 2 |
| Grow Therapy | $106 | $95–$117 | 2 |
| Headway | $126 | single report | 1 |
Virginia by payer, in detail
All 16 Virginia reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Alma | Aetna | LCSW | 90837 (60 min) | $110 | September 2026 | submitted |
| Alma | Optum / UHC | LCSW | 90837 (60 min) | $120 | September 2026 | submitted |
| Grow Therapy | Aetna | LCSW | 90837 (60 min) | $95.41 | September 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $171 | August 2026 | $161 in 2025 submitted |
| Direct contract | Cigna | LPC/LMHC | 90837 (60 min) | $102 | August 2026 | submitted |
| Direct contract | Optum / UHC | LPC/LMHC | 90837 (60 min) | $109.59 | August 2026 | submitted |
| Direct contract | Medicaid | LPC/LMHC | 90837 (60 min) | $113 | August 2026 | submitted |
| Direct contract | BCBS | — | 90837 (60 min) | $150 | December 2025 | Anthem, independent contract, masters level, rounded source |
| Direct contract | Tricare | — | 90837 (60 min) | $74 | December 2025 | independent contract, masters level, rounded source |
| Direct contract | Carefirst | LPC/LMHC | 90837 (60 min) | $113.47 | December 2025 | submitted |
| Direct contract | Aetna | LCSW | 90837 (60 min) | $101.35 | October 2025 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $170.99 | October 2025 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $113.40 | October 2025 | submitted |
| Headway | BCBS | LPC/LMHC | 90837 (60 min) | $126 | March 2025 | They received an increase from anthem in July 2026 and refuse to pass it on. submitted |
| Grow Therapy | BCBS | LPC/LMHC | 90837 (60 min) | $117.34 | August 2024 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $152.66 | August 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.