Medicare's 2026 national non-facility amount is $113.90 for 90834 and $167.00 for 90837, a $53.10 difference. UnitedHealthcare's published medians show a smaller gap: Ohio $99.97 vs $139.72 ($39.75) and Texas $95.74 vs $127.94 ($32.20). Sources: CMS RVU26D, effective 2026-10-01; UHC Transparency in Coverage file dated 2026-09-01.
How we got this number: differences are subtraction of the two published amounts. Ohio UnitedHealthcare professional medians are on the state page. Source file dated 2026-09-01. CMS effective 2026-10-01.
CPT 90834 (Psychotherapy, 45 minutes with patient) versus CPT 90837 (Psychotherapy, 60 minutes with patient). Medicare national non-facility: $113.90 vs $167.00 (CMS RVU26D, October 2026 release, GPCI 1.0). Official Medicaid FFS is shown for Alaska, Arizona, California, District of Columbia, Florida, Illinois, Indiana, Kentucky, Louisiana, Michigan, Missouri, Mississippi, Montana, North Dakota, Nebraska, Nevada, New York, Ohio, Oklahoma, South Carolina, Texas, Virginia, Washington, West Virginia, the states that publish both codes.
Ohio UnitedHealthcare professional medians (source file dated 2026-09-01): CPT 90834 $99.97 (10th percentile $73.06, 90th percentile $190.70) vs CPT 90837 $139.72 (10th percentile $104.59, 90th percentile $250.67) on /payers/uhc/ohio. Aetna and Anthem stay Coming soon.
Same UHC file, other states: Alaska 90834 $99.97 / 90837 $146.12 · Nebraska 90834 $102.19 / 90837 $147.07 · Indiana 90834 $96.44 / 90837 $139.72 · South Carolina 90834 $95.00 / 90837 $135.85 · Arizona 90834 $96.44 / 90837 $130.42 · Massachusetts 90834 $105.00 / 90837 $147.07 · Pennsylvania 90834 $96.20 / 90837 $137.51 · Illinois 90834 $102.90 / 90837 $137.78. Compare a pasted offer on Contract Checker v1.3.
Last verified 2026-09-10. Medicare effective 2026-10-01.
| State | 90834 Medicare NF | 90834 Medicaid FFS | 90837 Medicare NF | 90837 Medicaid FFS | Commercial |
|---|---|---|---|---|---|
| Alaska | $158.15 | $220.24 | $232.44 | $323.68 | $99.97 $146.12 |
| Arizona | $112.94 | $113.25 | $165.67 | $167.92 | $96.44 $130.42 |
| California | $117.70 to $135.25 | $67.16 | $172.69 to $198.30 | $98.02 | $108.34 $146.25 |
| District of Columbia | $123.52 | $98.82 | $181.03 | $144.82 | $101.36 $138.13 |
| Florida | $113.01 to $116.06 | $88.58 | $165.58 to $169.67 | $129.89 | $95.00 $126.17 |
| Illinois | $111.86 to $115.76 | $124.06 | $163.89 to $169.49 | $183.16 | $102.90 $137.78 |
| Indiana | $111.53 | $101.51 | $163.74 | $150.29 | $96.44 $139.72 |
| Kentucky | $110.76 | $62.90 | $162.50 | $94.13 | $92.23 $125.80 |
| Louisiana | $110.68 to $112.35 | $85.36 | $162.37 to $164.73 | $125.86 | $95.00 $125.93 |
| Michigan | $111.57 to $113.39 | $72.63 | $163.60 to $166.06 | $106.50 | $96.32 $131.26 |
| Missouri | $110.05 to $112.57 | $101.90 | $161.46 to $165.08 | $149.68 | $95.00 $130.24 |
| Mississippi | $109.87 | $98.88 | $161.26 | $145.13 | $95.00 $127.82 |
| Montana | $113.90 | $160.10 | $167.00 | $234.75 | $99.00 $142.20 |
| North Dakota | $113.50 | $127.67 | $166.61 | $187.37 | $100.26 $145.70 |
| Nebraska | $111.35 | $193.60 | $163.50 | $258.13 | $102.19 $147.07 |
| Nevada | $113.81 | $77.63 | $166.93 | $116.09 | $99.97 $139.27 |
| New York | $112.31 to $125.18 | $110.09 | $164.80 to $183.23 | $161.13 | $96.32 $131.26 |
| Ohio | $111.49 | $74.01 | $163.52 | $108.57 | $99.97 $139.72 |
| Oklahoma | $110.78 | $100.79 | $162.57 | $147.93 | $94.97 $127.32 |
| South Carolina | $111.69 | $70.42 | $163.86 | $103.83 | $95.00 $135.85 |
| Texas | $111.35 to $115.60 | $86.07 | $163.35 to $169.51 | $127.50 | $95.74 $127.94 |
| Virginia | $113.23 | $116.44 | $166.13 | $170.73 | $96.32 $132.95 |
| Washington | $116.32 to $124.34 | $83.48 | $170.61 to $182.29 | $122.51 | $100.81 $146.12 |
| West Virginia | $110.55 | $79.54 | $162.04 | $116.39 | $95.97 $137.78 |
Related official rates
- CPT 90834 Medicare and Medicaid FFS
- CPT 90837 Medicare and Medicaid FFS
- CPT 90832 vs 90837
- Compare an offered rate
- Medicaid FFS state hubs
Questions
What is the 90834 vs 90837 reimbursement difference?
Under 2026 Medicare (national non-facility) the difference is $53.10 ($113.90 vs $167.00). Under UnitedHealthcare medians it is $39.75 in Ohio and $32.20 in Texas. Sources: CMS RVU26D, effective 2026-10-01; UHC Transparency in Coverage file dated 2026-09-01.
Does Texas Medicaid pay more for 90837 than 90834?
Yes. Texas Medicaid FFS pays $127.50 for 90837 and $86.07 for 90834. Source: TMHP physician fee schedule, verified 2026-09-10.
How do CPT 90834 and 90837 Medicare rates compare in 2026?
National non-facility Medicare (GPCI 1.0) is $113.90 for CPT 90834 (Psychotherapy, 45 minutes with patient) and $167.00 for CPT 90837 (Psychotherapy, 60 minutes with patient). Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
Which states have official Medicaid FFS for both CPT 90834 and 90837?
Both codes have parsed Medicaid FFS cells in Alaska (90834 $220.24, 90837 $323.68); Arizona (90834 $113.25, 90837 $167.92); California (90834 $67.16, 90837 $98.02); District of Columbia (90834 $98.82, 90837 $144.82); Florida (90834 $88.58, 90837 $129.89); Illinois (90834 $124.06, 90837 $183.16); Indiana (90834 $101.51, 90837 $150.29); Kentucky (90834 $62.90, 90837 $94.13); Louisiana (90834 $85.36, 90837 $125.86); Michigan (90834 $72.63, 90837 $106.50); Missouri (90834 $101.90, 90837 $149.68); Mississippi (90834 $98.88, 90837 $145.13); Montana (90834 $160.10, 90837 $234.75); North Dakota (90834 $127.67, 90837 $187.37); Nebraska (90834 $193.60, 90837 $258.13); Nevada (90834 $77.63, 90837 $116.09); New York (90834 $110.09, 90837 $161.13); Ohio (90834 $74.01, 90837 $108.57); Oklahoma (90834 $100.79, 90837 $147.93); South Carolina (90834 $70.42, 90837 $103.83); Texas (90834 $86.07, 90837 $127.50); Virginia (90834 $116.44, 90837 $170.73); Washington (90834 $83.48, 90837 $122.51); West Virginia (90834 $79.54, 90837 $116.39). Other states stay Coming soon until that state's published file is parsed for both codes.
What is the Alaska Medicaid FFS comparison for CPT 90834 vs 90837?
Alaska Medicaid FFS is $220.24 for CPT 90834 and $323.68 for CPT 90837. Amounts are official FFS cells, not MCO or commercial rates.
Does Parite list Medicaid MCO or commercial rates for CPT 90834 vs 90837?
Medicaid MCO is not shown. UnitedHealthcare percentiles appear in the commercial column when a fetched cell exists for that code×state (90837/90834/90832/90791, 51 jurisdictions). Aetna and Anthem stay Coming soon.
What are the Ohio UnitedHealthcare medians for CPT 90834 vs 90837?
Ohio UHC professional median is $99.97 for CPT 90834 (10th percentile $73.06, 90th percentile $190.70) and $139.72 for CPT 90837 (10th percentile $104.59, 90th percentile $250.67). Source file dated 2026-09-01. Counted by provider practice state. Aetna and Anthem stay Coming soon.
What are the Pennsylvania UnitedHealthcare medians for CPT 90834 vs 90837?
Pennsylvania UHC professional median is $96.20 for CPT 90834 and $137.51 for CPT 90837. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Arizona and Massachusetts UnitedHealthcare medians for CPT 90834 vs 90837?
Arizona UHC professional median is $96.44 for CPT 90834 and $130.42 for CPT 90837. Massachusetts is $105.00 and $147.07. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Indiana and South Carolina UnitedHealthcare medians for CPT 90834 vs 90837?
Indiana UHC professional median is $96.44 for CPT 90834 and $139.72 for CPT 90837. South Carolina is $95.00 and $135.85. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Nebraska and Alaska UnitedHealthcare medians for CPT 90834 vs 90837?
Nebraska UHC professional median is $102.19 for CPT 90834 and $147.07 for CPT 90837. Alaska is $99.97 and $146.12. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.