Texas Medicaid fee-for-service pays $127.50 for CPT 90837 for patients 21 and older, effective 2026-03-01, per the TMHP physician fee schedule (verified 2026-09-10). Medicaid managed care (MCO) rates can differ. For comparison, the UnitedHealthcare Texas median is $127.94 and Medicare pays $163.35 to $169.51.
How we got this number: the published hub cell is the 21-999 years TMHP amount. Source file for UHC dated 2026-09-01.
Texas Medicaid FFS is parsed from Texas Medicaid Static Fee Schedule PHYSICIAN PRCR402C (modified 2026-07-29) (Texas Health and Human Services Commission / TMHP). File effective 2026-03-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-03-01. 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 | $137.93 | n/a | 2024-03-01 | 90791 / Texas |
| CPT 90792 | $155.30 | n/a | 2026-03-01 | 90792 / Texas |
| CPT 90832 | $65.22 | n/a | 2026-03-01 | 90832 / Texas |
| CPT 90834 | $86.07 | n/a | 2026-03-01 | 90834 / Texas |
| CPT 90837 | $127.50 | n/a | 2026-03-01 | 90837 / Texas |
| CPT 90846 | $85.60 | n/a | 2026-03-01 | 90846 / Texas |
| CPT 90847 | $85.00 | n/a | 2026-03-01 | 90847 / Texas |
| CPT 90853 | $23.26 | n/a | 2026-03-01 | 90853 / Texas |
Not on the Texas file we load: 90839.
How Texas Medicaid compares with Medicare and UnitedHealthcare
In Texas, Medicaid fee-for-service pays $127.50 for CPT 90837 for adults, from the TMHP Physician file effective 2026-03-01. Patients under 21 have a separate amount, $133.88. Medicare pays $163.35 to $169.51 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 78.1% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $127.94, and the middle 80% of published UHC rates run from $80.35 to $192.00 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $127.50 | $163.35 to $169.51 | $127.94 | 78.1% |
| CPT 90834 | $86.07 | $111.35 to $115.60 | $95.74 | 77.3% |
| CPT 90791 | $137.93 | $169.31 to $176.11 | $150.04 | 81.5% |
| CPT 90832 | $65.22 | $83.95 to $87.13 | $68.75 | 77.7% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Texas
- Compare a 90837 offer in Texas
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Texas
- CPT 90834 Medicare and Medicaid FFS in Texas
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
What is the Texas Medicaid reimbursement rate for 90837?
$127.50 for patients 21 and older, effective 2026-03-01. Source: TMHP physician fee schedule, verified 2026-09-10. MCO rates can differ.
What does Texas Medicaid pay for 90834 and 90791?
CPT 90834: $86.07. CPT 90791: $137.93. Source: TMHP physician fee schedule, verified 2026-09-10.
Which psychotherapy codes have official Texas Medicaid FFS amounts?
Texas Medicaid FFS is parsed for CPT 90791 $137.93; CPT 90792 $155.30; CPT 90832 $65.22; CPT 90834 $86.07; CPT 90837 $127.50; CPT 90846 $85.60; CPT 90847 $85.00; CPT 90853 $23.26. Not on the published file: 90839.
What is the Texas Medicaid FFS amount for CPT 90837?
$127.50 from TMHP Physician, effective 2026-03-01, last verified 2026-09-10.
What official file is the Texas Medicaid FFS extract from?
Texas Health and Human Services Commission / TMHP: Texas Medicaid Static Fee Schedule PHYSICIAN PRCR402C (modified 2026-07-29). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Texas 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 Texas Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Texas Medicaid fee-for-service pays $127.50 for CPT 90837, which is 78.1% of the lowest Texas Medicare non-facility amount ($163.35, CMS RVU26D). The UnitedHealthcare median is $127.94 (78.3% 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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