New York Medicaid FFS is parsed from NYS Medicaid Physician Medicine Services Fee Schedule, effective July 1, 2026 (New York State Department of Health / eMedNY). 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 | $177.67 | $60.38 | 2026-07-01 | 90791 / New York |
| CPT 90792 | $200.62 | $116.22 | 2026-07-01 | 90792 / New York |
| CPT 90832 | $83.42 | $25.21 | 2026-07-01 | 90832 / New York |
| CPT 90834 | $110.09 | $37.79 | 2026-07-01 | 90834 / New York |
| CPT 90837 | $161.13 | $57.05 | 2026-07-01 | 90837 / New York |
| CPT 90846 | $104.33 | $43.35 | 2026-07-01 | 90846 / New York |
| CPT 90847 | $108.22 | $52.03 | 2026-07-01 | 90847 / New York |
| CPT 90853 | $29.22 | $14.69 | 2026-07-01 | 90853 / New York |
Not on the New York file we load: 90839.
How New York Medicaid compares with Medicare and UnitedHealthcare
In New York, Medicaid fee-for-service pays $161.13 for CPT 90837, from the eMedNY Physician file effective 2026-07-01. Medicare pays $164.80 to $183.23 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 97.8% 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 $78.75 to $203.82 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $161.13 | $164.80 to $183.23 | $131.26 | 97.8% |
| CPT 90834 | $110.09 | $112.31 to $125.18 | $96.32 | 98% |
| CPT 90791 | $177.67 | $170.93 to $190.53 | $150.00 | 103.9% |
| CPT 90832 | $83.42 | $84.71 to $94.19 | $70.10 | 98.5% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in New York
- Compare a 90837 offer in New York
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in New York
- CPT 90834 Medicare and Medicaid FFS in New York
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official New York Medicaid FFS amounts?
New York Medicaid FFS is parsed for CPT 90791 $177.67; CPT 90792 $200.62; CPT 90832 $83.42; CPT 90834 $110.09; CPT 90837 $161.13; CPT 90846 $104.33; CPT 90847 $108.22; CPT 90853 $29.22. Not on the published file: 90839.
What is the New York Medicaid FFS amount for CPT 90837?
$161.13 (facility $57.05) from eMedNY Physician, effective 2026-07-01, last verified 2026-09-10.
What official file is the New York Medicaid FFS extract from?
New York State Department of Health / eMedNY: NYS Medicaid Physician Medicine Services Fee Schedule, effective July 1, 2026. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are New York 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 New York Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
New York Medicaid fee-for-service pays $161.13 for CPT 90837, which is 97.8% of the lowest New York Medicare non-facility amount ($164.80, CMS RVU26D). The UnitedHealthcare median is $131.26 (79.6% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.