Medicaid FFS · CA

California Medicaid FFS psychotherapy rates

Official Medi-Cal Rates amounts for the therapy codes on the state file, next to Medicare and the published UnitedHealthcare median. Aetna, Anthem, and Medicaid health plan rates stay Coming soon.

California Medicaid FFS is parsed from Medi-Cal Rates extract (public rates table) (California Department of Health Care Services / Medi-Cal). File effective 2026-08-15. Last verified 2026-09-10. Official source.

Last updated

Last verified 2026-09-10 · file effective 2026-08-15. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.

Official California Medicaid FFS cells (Medi-Cal Rates extract (public rates table), verified 2026-09-10)
CPTMedicaid FFSFacilityEffectiveCompare Medicare
CPT 90791
Psychiatric diagnostic evaluation
$128.08n/a2026-08-15
verified 2026-09-10
90791 / California
CPT 90792
Psychiatric diagnostic evaluation with medical services
$103.25n/a2026-08-15
verified 2026-09-10
90792 / California
CPT 90832
Psychotherapy, 30 minutes with patient
$52.87n/a2026-08-15
verified 2026-09-10
90832 / California
CPT 90834
Psychotherapy, 45 minutes with patient
$67.16n/a2026-08-15
verified 2026-09-10
90834 / California
CPT 90837
Psychotherapy, 60 minutes with patient
$98.02n/a2026-08-15
verified 2026-09-10
90837 / California
CPT 90839
Psychotherapy for crisis, first 60 minutes
$38.01n/a2026-08-15
verified 2026-09-10
90839 / California
CPT 90846
Family psychotherapy without the patient, 50 minutes
$86.64n/a2026-08-15
verified 2026-09-10
90846 / California
CPT 90847
Family psychotherapy with the patient, 50 minutes
$89.65n/a2026-08-15
verified 2026-09-10
90847 / California
CPT 90853
Group psychotherapy
$3.47
Medi-Cal's published group therapy rate for an MD, NP or PA, billed once per session for each Medi-Cal member in the group. Psychologists, LCSWs, LPCCs and LMFTs have a separate Medi-Cal rate of $14.48.
n/a2026-08-15
verified 2026-09-10
90853 / California

Source file: Medi-Cal Rates extract (public rates table) from California Department of Health Care Services / Medi-Cal.

How California Medicaid compares with Medicare and UnitedHealthcare

In California, Medicaid fee-for-service pays $98.02 for CPT 90837, from the Medi-Cal Rates file effective 2026-08-15. Medicare pays $172.69 to $198.30 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 56.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $146.25, and the middle 80% of published UHC rates run from $100.53 to $252.08 (UHC price transparency file dated 2026-09-01).

California: Medicaid FFS vs Medicare non-facility (CMS RVU26D) vs UnitedHealthcare median, by CPT code
CPTMedicaid FFSMedicareUHC medianMedicaid as % of Medicare
CPT 90837$98.02$172.69 to $198.30
29 CMS localities
$146.25
middle 80%: $100.53 to $252.08
56.8%
CPT 90834$67.16$117.70 to $135.25
29 CMS localities
$108.34
middle 80%: $77.31 to $189.14
57.1%
CPT 90791$128.08$179.49 to $206.78
29 CMS localities
$167.62
middle 80%: $110.00 to $284.48
71.4%
CPT 90832$52.87$88.77 to $101.97
29 CMS localities
$75.57
middle 80%: $47.91 to $128.95
59.6%

Percent of Medicare uses the lowest Medicare non-facility locality in California. UnitedHealthcare figures are published negotiated rates (file dated 2026-09-01), not a Medicaid health plan rate. See UnitedHealthcare in California.

Cite this: Parite, “California Medicaid, Medicare, and UnitedHealthcare rates for therapy codes,” https://goparite.com/medicaid/california#compare, updated 2026-10-09.

Related official rates

Questions

Which psychotherapy codes have official California Medicaid FFS amounts?

California Medicaid FFS is parsed for CPT 90791 $128.08; CPT 90792 $103.25; CPT 90832 $52.87; CPT 90834 $67.16; CPT 90837 $98.02; CPT 90839 $38.01; CPT 90846 $86.64; CPT 90847 $89.65; CPT 90853 $3.47.

What is the California Medicaid FFS amount for CPT 90837?

$98.02 from Medi-Cal Rates, effective 2026-08-15, last verified 2026-09-10.

What official file is the California Medicaid FFS extract from?

California Department of Health Care Services / Medi-Cal: Medi-Cal Rates extract (public rates table). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.

Are California Medicaid MCO or commercial rates in these tables?

This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.

How does California Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?

California Medicaid fee-for-service pays $98.02 for CPT 90837, which is 56.8% of the lowest California Medicare non-facility amount ($172.69, CMS RVU26D). The UnitedHealthcare median is $146.25 (84.7% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.