Updated October 3, 2026. Ohio Medicaid fee-for-service pays $108.57 for a 60-minute therapy session (CPT 90837), $74.01 for 45 minutes (90834), and $56.93 for 30 minutes (90832). An intake (90791) pays $117.91 and family therapy with the patient (90847) pays $90.85. Source: ODM Appendix DD, verified 2026-09-10.
How we got these numbers: the current maximum non-facility payment column of Appendix DD to OAC 5160-1-60 (Non-Institutional Fee Schedule, 2026-01-01 update). Managed care plan rates can differ.
Ohio Medicaid FFS is parsed from Appendix DD to OAC 5160-1-60 (Non-Institutional Fee Schedule), updates for 2026-01-01 (Ohio Department of Medicaid). 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.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $117.91 | $77.14 | 2024-01-01 | 90791 / Ohio |
| CPT 90792 | $130.20 | $87.90 | 2024-01-01 | 90792 / Ohio |
| CPT 90832 | $56.93 | $35.58 | 2024-01-01 | 90832 / Ohio |
| CPT 90834 | $74.01 | $49.43 | 2024-01-01 | 90834 / Ohio |
| CPT 90837 | $108.57 | $75.77 | 2024-01-01 | 90837 / Ohio |
| CPT 90839 | $154.87 | $97.31 | 2024-01-01 | 90839 / Ohio |
| CPT 90846 | $92.26 | $57.66 | 2024-01-01 | 90846 / Ohio |
| CPT 90847 | $90.85 | $67.71 | 2024-01-01 | 90847 / Ohio |
| CPT 90853 | $29.85 | n/a | 2024-01-01 | 90853 / Ohio |
How Ohio Medicaid compares with Medicare and UnitedHealthcare
In Ohio, Medicaid fee-for-service pays $108.57 for CPT 90837, from the ODM Appendix DD file effective 2024-01-01. Medicare pays $163.52 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 66.4% 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 $104.59 to $250.67 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Ohio
- Compare a 90837 offer in Ohio
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Ohio
- CPT 90834 Medicare and Medicaid FFS in Ohio
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
What does Ohio Medicaid pay for therapy in 2026?
Ohio Medicaid fee-for-service pays $108.57 for CPT 90837, $74.01 for 90834, and $56.93 for 90832 (non-facility). Source: ODM Appendix DD to OAC 5160-1-60, verified 2026-09-10.
Does Ohio Medicaid pay less in a facility?
Yes. The facility amount for CPT 90837 is $75.77, against $108.57 non-facility. Each code's facility amount is in the Ohio table.
Which psychotherapy codes have official Ohio Medicaid FFS amounts?
Ohio Medicaid FFS is parsed for CPT 90791 $117.91; CPT 90792 $130.20; CPT 90832 $56.93; CPT 90834 $74.01; CPT 90837 $108.57; CPT 90839 $154.87; CPT 90846 $92.26; CPT 90847 $90.85; CPT 90853 $29.85.
What is the Ohio Medicaid FFS amount for CPT 90837?
$108.57 (facility $75.77) from ODM Appendix DD, effective 2024-01-01, last verified 2026-09-10.
What official file is the Ohio Medicaid FFS extract from?
Ohio Department of Medicaid: Appendix DD to OAC 5160-1-60 (Non-Institutional Fee Schedule), updates for 2026-01-01. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Ohio 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 Ohio Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Ohio Medicaid fee-for-service pays $108.57 for CPT 90837, which is 66.4% of the lowest Ohio Medicare non-facility amount ($163.52, CMS RVU26D). The UnitedHealthcare median is $139.72 (85.4% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.
Ask us to keep these figures current
Tell us you use the CPT 90837 figures for Ohio. We use these requests to decide which codes and states to refresh first. Something missing or off? Let us know.