Medicaid FFS · FL

Florida Medicaid FFS psychotherapy rates

Official AHCA Practitioner 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.

Florida Medicaid FFS is parsed from Florida Medicaid Practitioner Fee Schedule, January 1, 2026 (Florida Agency for Health Care Administration). File effective 2026-01-01. Last verified 2026-09-10. Official source.

Last updated

Last verified 2026-09-10 · file effective 2026-01-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.

Official Florida Medicaid FFS cells (Florida Medicaid Practitioner Fee Schedule, January 1, 2026, verified 2026-09-10)
CPTMedicaid FFSFacilityEffectiveCompare Medicare
CPT 90791
Psychiatric diagnostic evaluation
$134.82$106.772026-01-01
verified 2026-09-10
90791 / Florida
CPT 90792
Psychiatric diagnostic evaluation with medical services
$157.16$123.912026-01-01
verified 2026-09-10
90792 / Florida
CPT 90832
Psychotherapy, 30 minutes with patient
$66.76$54.032026-01-01
verified 2026-09-10
90832 / Florida
CPT 90834
Psychotherapy, 45 minutes with patient
$88.58$71.442026-01-01
verified 2026-09-10
90834 / Florida
CPT 90837
Psychotherapy, 60 minutes with patient
$129.89$105.212026-01-01
verified 2026-09-10
90837 / Florida
CPT 90847
Family psychotherapy with the patient, 50 minutes
$85.20$80.012026-01-01
verified 2026-09-10
90847 / Florida
CPT 90853
Group psychotherapy
$23.64$18.962026-01-01
verified 2026-09-10
90853 / Florida

Source file: Florida Medicaid Practitioner Fee Schedule, January 1, 2026 from Florida Agency for Health Care Administration.

Not on the Florida file we load: 90839, 90846.

How Florida Medicaid compares with Medicare and UnitedHealthcare

In Florida, Medicaid fee-for-service pays $129.89 for CPT 90837, from the AHCA Practitioner file effective 2026-01-01. Medicare pays $165.58 to $169.67 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 78.4% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $126.17, and the middle 80% of published UHC rates run from $77.25 to $199.83 (UHC price transparency file dated 2026-09-01).

Florida: Medicaid FFS vs Medicare non-facility (CMS RVU26D) vs UnitedHealthcare median, by CPT code
CPTMedicaid FFSMedicareUHC medianMedicaid as % of Medicare
CPT 90837$129.89$165.58 to $169.67
3 CMS localities
$126.17
middle 80%: $77.25 to $199.83
78.4%
CPT 90834$88.58$113.01 to $116.06
3 CMS localities
$95.00
middle 80%: $69.00 to $159.17
78.4%
CPT 90791$134.82$171.73 to $176.19
3 CMS localities
$148.63
middle 80%: $90.00 to $227.31
78.5%
CPT 90832$66.76$85.10 to $87.20
3 CMS localities
$68.87
middle 80%: $39.03 to $110.61
78.4%

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

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

Related official rates

Questions

Which psychotherapy codes have official Florida Medicaid FFS amounts?

Florida Medicaid FFS is parsed for CPT 90791 $134.82; CPT 90792 $157.16; CPT 90832 $66.76; CPT 90834 $88.58; CPT 90837 $129.89; CPT 90847 $85.20; CPT 90853 $23.64. Not on the published file: 90839, 90846.

What is the Florida Medicaid FFS amount for CPT 90837?

$129.89 (facility $105.21) from AHCA Practitioner, effective 2026-01-01, last verified 2026-09-10.

What official file is the Florida Medicaid FFS extract from?

Florida Agency for Health Care Administration: Florida Medicaid Practitioner Fee Schedule, January 1, 2026. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.

Are Florida 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 Florida Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?

Florida Medicaid fee-for-service pays $129.89 for CPT 90837, which is 78.4% of the lowest Florida Medicare non-facility amount ($165.58, CMS RVU26D). The UnitedHealthcare median is $126.17 (76.2% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.