North Dakota Medicaid FFS is parsed from ND Medicaid Professional Services Fee Schedule, data updated August 1, 2026 (North Dakota Department of Health and Human Services). File effective 2026-08-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-08-01. 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 | $194.50 | n/a | 2026-08-01 | 90791 / North Dakota |
| CPT 90792 | $223.42 | n/a | 2026-08-01 | 90792 / North Dakota |
| CPT 90832 | $96.13 | n/a | 2026-08-01 | 90832 / North Dakota |
| CPT 90834 | $127.67 | n/a | 2026-08-01 | 90834 / North Dakota |
| CPT 90837 | $187.37 | n/a | 2026-08-01 | 90837 / North Dakota |
| CPT 90839 | $179.49 | n/a | 2026-08-01 | 90839 / North Dakota |
| CPT 90846 | $118.28 | n/a | 2026-08-01 | 90846 / North Dakota |
| CPT 90847 | $122.79 | n/a | 2026-08-01 | 90847 / North Dakota |
| CPT 90853 | $33.79 | n/a | 2026-08-01 | 90853 / North Dakota |
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.
| CPT | Medicaid FFS | Modifier | Effective |
|---|---|---|---|
| CPT 97153 | $10.81 | n/a | 2026-08-01 |
How North Dakota Medicaid compares with Medicare and UnitedHealthcare
In North Dakota, Medicaid fee-for-service pays $187.37 for CPT 90837, from the ND Medicaid Professional file effective 2026-08-01. Medicare pays $166.61 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 112.5% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $145.70, and the middle 80% of published UHC rates run from $107.19 to $177.01 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $187.37 | $166.61 | $145.70 | 112.5% |
| CPT 90834 | $127.67 | $113.50 | $100.26 | 112.5% |
| CPT 90791 | $194.50 | $172.95 | $174.86 | 112.5% |
| CPT 90832 | $96.13 | $85.64 | $75.74 | 112.2% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in North Dakota
- Compare a 90837 offer in North Dakota
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in North Dakota
- CPT 90834 Medicare and Medicaid FFS in North Dakota
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official North Dakota Medicaid FFS amounts?
North Dakota Medicaid FFS is parsed for CPT 90791 $194.50; CPT 90792 $223.42; CPT 90832 $96.13; CPT 90834 $127.67; CPT 90837 $187.37; CPT 90839 $179.49; CPT 90846 $118.28; CPT 90847 $122.79; CPT 90853 $33.79.
What is the North Dakota Medicaid FFS amount for CPT 90837?
$187.37 from ND Medicaid Professional, effective 2026-08-01, last verified 2026-09-10.
What official file is the North Dakota Medicaid FFS extract from?
North Dakota Department of Health and Human Services: ND Medicaid Professional Services Fee Schedule, data updated August 1, 2026. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are North Dakota 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 North Dakota Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
North Dakota Medicaid fee-for-service pays $187.37 for CPT 90837, which is 112.5% of the lowest North Dakota Medicare non-facility amount ($166.61, CMS RVU26D). The UnitedHealthcare median is $145.70 (87.4% 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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