State rate page
What therapists in Washington report being paid
Therapists in Washington reported 39 rates. The median 90837 was $121 across 38 reports. That is $6 above the national median of $115 across 568 reports. Most Washington reports come from licensed professional counselors.
Reported 90837: median $121, range $80–$185, middle half $107–$135, about 96% of the 2026 national Medicare reference for a master's-level clinician (38 reports · 39 across all CPTs · updated 2026-10-08)
Washington 90837 by payer
| Payer | Median | Range | Reports |
|---|---|---|---|
| BCBS | $128 | $120–$153 | 6 |
| Premera | $135 | $135–$140 | 5 |
| Kaiser | $116 | $116–$134 | 5 |
| Aetna | $107 | $92–$185 | 5 |
| Optum / UHC | $150 | $121–$159 | 4 |
| Cigna | $106 | $99–$108 | 3 |
| EAP | $125 | $110–$140 | 2 |
| Regence | $111 | $101–$120 | 2 |
| All payers (flat) | $80 | $80–$80 | 2 |
| Reflect | $130 | single report | 1 |
| First choice | $126 | single report | 1 |
| Medicaid | $123 | single report | 1 |
Washington 90837 by license
| License | Median | Range | Reports |
|---|---|---|---|
| LPC/LMHC | $120 | $80–$153 | 24 |
| LCSW | $121 | $99–$159 | 10 |
| PhD/PsyD | $152 | $140–$185 | 3 |
| LMFT | $135 | single report | 1 |
Washington 90837 by route
| Route | Median | Range | Reports |
|---|---|---|---|
| Direct contract | $121 | $92–$159 | 29 |
| Headway | $146 | $121–$185 | 4 |
| Spring Health | $102 | $95–$110 | 2 |
| Rula | $80 | $80–$80 | 2 |
| Lyra Health | $140 | single report | 1 |
Washington by payer, in detail
All 39 Washington reports
| Route | Payer | License | CPT | Rate | Effective | Note / source |
|---|---|---|---|---|---|---|
| Direct contract | Premera | LMFT | 90837 (60 min) | $135.39 | October 2026 | submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $152.52 | October 2026 | Regence of OR (Clark County only) submitted |
| Rula | All payers (flat) | LPC/LMHC | 90837 (60 min) | $80 | October 2026 | submitted |
| Direct contract | Aetna | LPC/LMHC | 90837 (60 min) | $107.01 | October 2026 | submitted |
| Direct contract | Aetna | LPC/LMHC | 90837 (60 min) | $92 | October 2026 | submitted |
| Direct contract | Cigna | LCSW | 90837 (60 min) | $99 | October 2026 | submitted |
| Spring Health | — | LPC/LMHC | 90837 (60 min) | $95 | October 2026 | submitted |
| Direct contract | Premera | LPC/LMHC | 90837 (60 min) | $135 | September 2026 | submitted |
| Rula | All payers (flat) | LPC/LMHC | 90837 (60 min) | $80 | August 2026 | submitted |
| Direct contract | Medicaid | LCSW | 90837 (60 min) | $122.51 | July 2026 | submitted |
| Direct contract | Kaiser | LPC/LMHC | 90837 (60 min) | $134.40 | May 2026 | submitted |
| Direct contract | Cigna | LCSW | 90837 (60 min) | $106 | February 2026 | submitted |
| Direct contract | Cigna | LPC/LMHC | 90837 (60 min) | $108 | January 2026 | Applied for an increase and they gave me a $3 more (previous rate was $105) submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $120.24 | January 2026 | submitted |
| Direct contract | Optum / UHC | LCSW | 90837 (60 min) | $159 | December 2025 | United/Optum, group practice, western WA; group Cigna $117 source |
| Direct contract | Premera | LPC/LMHC | 90837 (60 min) | $135 | December 2025 | submitted |
| Direct contract | Aetna | LCSW | 90837 (60 min) | $107 | October 2025 | submitted |
| Headway | Optum / UHC | LPC/LMHC | 90837 (60 min) | $120.55 | August 2025 | United source |
| Direct contract | Optum / UHC | LCSW | 90791 (intake) | $180.89 | July 2025 | submitted |
| Direct contract | Optum / UHC | LCSW | 90837 (60 min) | $159.45 | July 2025 | submitted |
| Headway | Aetna | PhD/PsyD | 90837 (60 min) | $185 | October 2024 | submitted |
| Headway | Premera | PhD/PsyD | 90837 (60 min) | $140 | October 2024 | submitted |
| Headway | BCBS | PhD/PsyD | 90837 (60 min) | $152.27 | October 2024 | submitted |
| Direct contract | Kaiser | LPC/LMHC | 90837 (60 min) | $116 | September 2024 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $120.25 | August 2024 | submitted |
| Direct contract | BCBS | LCSW | 90837 (60 min) | $135.39 | August 2024 | submitted |
| Direct contract | Kaiser | LCSW | 90837 (60 min) | $126.35 | August 2024 | submitted |
| Direct contract | Regence | LPC/LMHC | 90837 (60 min) | $100.91 | July 2024 | Heard they may have lowered it in 2026? submitted |
| Direct contract | BCBS | LPC/LMHC | 90837 (60 min) | $121 | July 2024 | Some report an Increase from this amount? submitted |
| Direct contract | First choice | LPC/LMHC | 90837 (60 min) | $126 | July 2024 | submitted |
| Spring Health | EAP | LCSW | 90837 (60 min) | $110 | June 2024 | 1/2 for no-show late cancellation submitted |
| Direct contract | Optum / UHC | LPC/LMHC | 90837 (60 min) | $140 | June 2024 | submitted |
| Direct contract | Kaiser | LPC/LMHC | 90837 (60 min) | $116 | June 2024 | submitted |
| Direct contract | Kaiser | LPC/LMHC | 90837 (60 min) | $116 | January 2024 | submitted |
| Direct contract | Aetna | LPC/LMHC | 90837 (60 min) | $107.01 | December 2023 | I left panel it was so low, rejoined and given same rate. They are my lowest payer submitted |
| Direct contract | Regence | LPC/LMHC | 90837 (60 min) | $120.24 | July 2023 | submitted |
| Direct contract | Premera | LPC/LMHC | 90837 (60 min) | $135 | July 2023 | submitted |
| Lyra Health | EAP | LPC/LMHC | 90837 (60 min) | $140 | July 2022 | Had to negotiate, took weeks and push back. Paneled for years and asked for a raise, was denied. submitted |
| Direct contract | Reflect | LPC/LMHC | 90837 (60 min) | $130 | July 2022 | Individual: $130/Day, $150/5pm, Couples: $155/Day, $175/5pm Evening. $30 Month 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.