Medicaid FFS · IN

Indiana Medicaid FFS psychotherapy rates

Official IHCP Professional 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.

Indiana Medicaid FFS is parsed from IHCP Professional Fee Schedule With Cutbacks, last updated 2026-06-09 (changes as of 2026-05-26) (Indiana Family and Social Services Administration / IHCP). 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 Indiana Medicaid FFS cells (IHCP Professional Fee Schedule With Cutbacks, last updated 2026-06-09 (changes as of 2026-05-26), verified 2026-09-10)
CPTMedicaid FFSFacilityEffectiveCompare Medicare
CPT 90791
Psychiatric diagnostic evaluation
$162.16$140.092026-01-01
verified 2026-09-10
90791 / Indiana
CPT 90792
Psychiatric diagnostic evaluation with medical services
$181.51$159.142026-01-01
verified 2026-09-10
90792 / Indiana
CPT 90832
Psychotherapy, 30 minutes with patient
$76.90$67.652026-01-01
verified 2026-09-10
90832 / Indiana
CPT 90834
Psychotherapy, 45 minutes with patient
$101.51$89.282026-01-01
verified 2026-09-10
90834 / Indiana
CPT 90837
Psychotherapy, 60 minutes with patient
$150.29$132.092026-01-01
verified 2026-09-10
90837 / Indiana
CPT 90839
Psychotherapy for crisis, first 60 minutes
$144.13$127.432026-01-01
verified 2026-09-10
90839 / Indiana
CPT 90846
Family psychotherapy without the patient, 50 minutes
$96.75$96.452026-01-01
verified 2026-09-10
90846 / Indiana
CPT 90847
Family psychotherapy with the patient, 50 minutes
$100.90$100.612026-01-01
verified 2026-09-10
90847 / Indiana
CPT 90853
Group psychotherapy
$27.30$23.722026-01-01
verified 2026-09-10
90853 / Indiana

Source file: IHCP Professional Fee Schedule With Cutbacks, last updated 2026-06-09 (changes as of 2026-05-26) from Indiana Family and Social Services Administration / IHCP.

Official ABA cells on this file

CPT 97153 is a 15-minute unit. Medicare PFS for ABA is not in this extract, so /specialties/aba stays noindex. Commercial stays Coming soon.

Official Indiana Medicaid FFS ABA cells (verified 2026-09-10)
CPTMedicaid FFSModifierEffective
CPT 97153
IHCP Professional Fee Schedule MENTL MAXFEE, modifier U1 (97153 is not published unmodified). Other U2/U3/UA rows not blended.
$16.04U12026-04-01

How Indiana Medicaid compares with Medicare and UnitedHealthcare

In Indiana, Medicaid fee-for-service pays $150.29 for CPT 90837, from the IHCP Professional file effective 2026-01-01. Medicare pays $163.74 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 91.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $139.72, and the middle 80% of published UHC rates run from $96.47 to $180.38 (UHC price transparency file dated 2026-09-01).

Indiana: Medicaid FFS vs Medicare non-facility (CMS RVU26D) vs UnitedHealthcare median, by CPT code
CPTMedicaid FFSMedicareUHC medianMedicaid as % of Medicare
CPT 90837$150.29$163.74$139.72
middle 80%: $96.47 to $180.38
91.8%
CPT 90834$101.51$111.53$96.44
middle 80%: $70.74 to $155.14
91%
CPT 90791$162.16$169.76$150.08
middle 80%: $110.00 to $230.00
95.5%
CPT 90832$76.90$84.16$72.37
middle 80%: $51.92 to $103.50
91.4%

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

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

Related official rates

Questions

Which psychotherapy codes have official Indiana Medicaid FFS amounts?

Indiana Medicaid FFS is parsed for CPT 90791 $162.16; CPT 90792 $181.51; CPT 90832 $76.90; CPT 90834 $101.51; CPT 90837 $150.29; CPT 90839 $144.13; CPT 90846 $96.75; CPT 90847 $100.90; CPT 90853 $27.30.

What is the Indiana Medicaid FFS amount for CPT 90837?

$150.29 (facility $132.09) from IHCP Professional, effective 2026-01-01, last verified 2026-09-10.

What official file is the Indiana Medicaid FFS extract from?

Indiana Family and Social Services Administration / IHCP: IHCP Professional Fee Schedule With Cutbacks, last updated 2026-06-09 (changes as of 2026-05-26). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.

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

Indiana Medicaid fee-for-service pays $150.29 for CPT 90837, which is 91.8% of the lowest Indiana Medicare non-facility amount ($163.74, CMS RVU26D). The UnitedHealthcare median is $139.72 (85.3% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.