Updated October 3, 2026. Michigan Medicaid fee-for-service pays $106.50 for CPT 90837 (60-minute therapy) for adults 21 and older, non-facility, effective 2026-07-01. Patients under 21 have a higher amount, $110.81. The facility amount is $86.27. CPT 90834 pays $72.63. Source: MDHHS practitioner fee schedule, verified 2026-09-10.
How we got these numbers: MDHHS Practitioner and Medical Clinic Fee Schedule, July 2026 (revised 2026-08-27). MDHHS also publishes a separate non-physician behavioral health schedule that we have not loaded yet. Medicaid health plan rates can differ.
Michigan Medicaid FFS is parsed from Practitioner and Medical Clinic Fee Schedule, July 2026 (revised 2026-08-27) (Michigan Department of Health and Human Services). File effective 2026-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $110.55 | $87.54 | 2026-07-01 | 90791 / Michigan |
| CPT 90792 | $128.87 | $101.60 | 2026-07-01 | 90792 / Michigan |
| CPT 90832 | $54.74 | $44.30 | 2026-07-01 | 90832 / Michigan |
| CPT 90834 | $72.63 | $58.58 | 2026-07-01 | 90834 / Michigan |
| CPT 90837 | $106.50 | $86.27 | 2026-07-01 | 90837 / Michigan |
| CPT 90839 | $102.24 | $82.64 | 2026-07-01 | 90839 / Michigan |
| CPT 90847 | $69.86 | $65.60 | 2026-07-01 | 90847 / Michigan |
| CPT 90853 | $19.38 | $15.55 | 2026-07-01 | 90853 / Michigan |
Not on the Michigan file we load: 90846.
How Michigan Medicaid compares with Medicare and UnitedHealthcare
In Michigan, Medicaid fee-for-service pays $106.50 for CPT 90837 for adults, from the MDHHS Practitioner file effective 2026-07-01. Patients under 21 have a separate amount, $110.81. Medicare pays $163.60 to $166.06 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 65.1% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $131.26, and the middle 80% of published UHC rates run from $102.68 to $183.57 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $106.50 | $163.60 to $166.06 | $131.26 | 65.1% |
| CPT 90834 | $72.63 | $111.57 to $113.39 | $96.32 | 65.1% |
| CPT 90791 | $110.55 | $169.57 to $172.25 | $150.08 | 65.2% |
| CPT 90832 | $54.74 | $84.08 to $85.34 | $67.45 | 65.1% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Michigan
- Compare a 90837 offer in Michigan
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Michigan
- CPT 90834 Medicare and Medicaid FFS in Michigan
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
What does Michigan Medicaid pay for 90837?
$106.50 for adults 21 and older (non-facility) and $110.81 for patients under 21, effective 2026-07-01. Source: MDHHS practitioner fee schedule, verified 2026-09-10.
What does Michigan Medicaid pay for 90834?
$72.63 for adults 21 and older (non-facility) and $75.57 for patients under 21. Source: MDHHS practitioner fee schedule, verified 2026-09-10.
Which psychotherapy codes have official Michigan Medicaid FFS amounts?
Michigan Medicaid FFS is parsed for CPT 90791 $110.55; CPT 90792 $128.87; CPT 90832 $54.74; CPT 90834 $72.63; CPT 90837 $106.50; CPT 90839 $102.24; CPT 90847 $69.86; CPT 90853 $19.38. Not on the published file: 90846.
What is the Michigan Medicaid FFS amount for CPT 90837?
$106.50 (facility $86.27) from MDHHS Practitioner, effective 2026-07-01, last verified 2026-09-10.
What official file is the Michigan Medicaid FFS extract from?
Michigan Department of Health and Human Services: Practitioner and Medical Clinic Fee Schedule, July 2026 (revised 2026-08-27). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Michigan 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 Michigan Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Michigan Medicaid fee-for-service pays $106.50 for CPT 90837, which is 65.1% of the lowest Michigan Medicare non-facility amount ($163.60, CMS RVU26D). The UnitedHealthcare median is $131.26 (80.2% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.
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Tell us you use the CPT 90837 figures for Michigan. We use these requests to decide which codes and states to refresh first. Something missing or off? Let us know.