Medicaid FFS · NE

Nebraska Medicaid FFS psychotherapy rates

Official NE DHHS Mental Health 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.

Nebraska Medicaid FFS is parsed from Mental Health and Substance Use Practitioner Fee Schedule, July 1 2025 (updated 2025-07-31); SFY 2026 rates (Nebraska Department of Health and Human Services). File effective 2025-07-01. Last verified 2026-09-10. Official source.

Last updated

Last verified 2026-09-10 · file effective 2025-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.

Official Nebraska Medicaid FFS cells (Mental Health and Substance Use Practitioner Fee Schedule, July 1 2025 (updated 2025-07-31); SFY 2026 rates, verified 2026-09-10)
CPTMedicaid FFSFacilityEffectiveCompare Medicare
CPT 90791
Psychiatric diagnostic evaluation
$238.40n/a2025-07-01
verified 2026-09-10
90791 / Nebraska
CPT 90792
Psychiatric diagnostic evaluation with medical services
$333.40n/a2025-07-01
verified 2026-09-10
90792 / Nebraska
CPT 90832
Psychotherapy, 30 minutes with patient
$129.07n/a2025-07-01
verified 2026-09-10
90832 / Nebraska
CPT 90834
Psychotherapy, 45 minutes with patient
$193.60n/a2025-07-01
verified 2026-09-10
90834 / Nebraska
CPT 90837
Psychotherapy, 60 minutes with patient
$258.13n/a2025-07-01
verified 2026-09-10
90837 / Nebraska
CPT 90839
Psychotherapy for crisis, first 60 minutes
$177.03n/a2025-07-01
verified 2026-09-10
90839 / Nebraska
CPT 90846
Family psychotherapy without the patient, 50 minutes
$164.27n/a2025-07-01
verified 2026-09-10
90846 / Nebraska
CPT 90847
Family psychotherapy with the patient, 50 minutes
$173.93n/a2025-07-01
verified 2026-09-10
90847 / Nebraska
CPT 90853
Group psychotherapy
$52.44n/a2025-07-01
verified 2026-09-10
90853 / Nebraska

Source file: Mental Health and Substance Use Practitioner Fee Schedule, July 1 2025 (updated 2025-07-31); SFY 2026 rates from Nebraska Department of Health and Human Services.

How Nebraska Medicaid compares with Medicare and UnitedHealthcare

In Nebraska, Medicaid fee-for-service pays $258.13 for CPT 90837, from the NE DHHS Mental Health file effective 2025-07-01. Medicare pays $163.50 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 157.9% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $147.07, and the middle 80% of published UHC rates run from $96.93 to $239.92 (UHC price transparency file dated 2026-09-01).

Nebraska: Medicaid FFS vs Medicare non-facility (CMS RVU26D) vs UnitedHealthcare median, by CPT code
CPTMedicaid FFSMedicareUHC medianMedicaid as % of Medicare
CPT 90837$258.13$163.50$147.07
middle 80%: $96.93 to $239.92
157.9%
CPT 90834$193.60$111.35$102.19
middle 80%: $77.52 to $170.26
173.9%
CPT 90791$238.40$169.51$167.43
middle 80%: $130.00 to $260.84
140.6%
CPT 90832$129.07$84.04$75.57
middle 80%: $52.14 to $124.36
153.6%

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

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

Related official rates

Questions

Which psychotherapy codes have official Nebraska Medicaid FFS amounts?

Nebraska Medicaid FFS is parsed for CPT 90791 $238.40; CPT 90792 $333.40; CPT 90832 $129.07; CPT 90834 $193.60; CPT 90837 $258.13; CPT 90839 $177.03; CPT 90846 $164.27; CPT 90847 $173.93; CPT 90853 $52.44.

What is the Nebraska Medicaid FFS amount for CPT 90837?

$258.13 from NE DHHS Mental Health, effective 2025-07-01, last verified 2026-09-10.

What official file is the Nebraska Medicaid FFS extract from?

Nebraska Department of Health and Human Services: Mental Health and Substance Use Practitioner Fee Schedule, July 1 2025 (updated 2025-07-31); SFY 2026 rates. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.

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

Nebraska Medicaid fee-for-service pays $258.13 for CPT 90837, which is 157.9% of the lowest Nebraska Medicare non-facility amount ($163.50, CMS RVU26D). The UnitedHealthcare median is $147.07 (90% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.