Washington Medicaid FFS is parsed from Physician-Related Services fee schedule, July 1, 2026 (updated 2026-07-21) (Washington State Health Care Authority). 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 | $127.46 | $99.23 | 2026-07-01 | 90791 / Washington |
| CPT 90792 | $120.20 | $93.26 | 2026-07-01 | 90792 / Washington |
| CPT 90832 | $63.01 | $50.33 | 2026-07-01 | 90832 / Washington |
| CPT 90834 | $83.48 | $66.31 | 2026-07-01 | 90834 / Washington |
| CPT 90837 | $122.51 | $97.82 | 2026-07-01 | 90837 / Washington |
| CPT 90846 | $76.89 | $71.73 | 2026-07-01 | 90846 / Washington |
| CPT 90847 | $79.71 | $74.54 | 2026-07-01 | 90847 / Washington |
| CPT 90853 | $20.10 | $15.87 | 2026-07-01 | 90853 / Washington |
Not on the Washington file we load: 90839.
How Washington Medicaid compares with Medicare and UnitedHealthcare
In Washington, Medicaid fee-for-service pays $122.51 for CPT 90837, from the HCA Physician-related file effective 2026-07-01. Medicare pays $170.61 to $182.29 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 71.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $146.12, and the middle 80% of published UHC rates run from $85.95 to $252.08 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $122.51 | $170.61 to $182.29 | $146.12 | 71.8% |
| CPT 90834 | $83.48 | $116.32 to $124.34 | $100.81 | 71.8% |
| CPT 90791 | $127.46 | $177.21 to $189.73 | $156.06 | 71.9% |
| CPT 90832 | $63.01 | $87.70 to $93.72 | $72.86 | 71.8% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Washington
- Compare a 90837 offer in Washington
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Washington
- CPT 90834 Medicare and Medicaid FFS in Washington
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Washington Medicaid FFS amounts?
Washington Medicaid FFS is parsed for CPT 90791 $127.46; CPT 90792 $120.20; CPT 90832 $63.01; CPT 90834 $83.48; CPT 90837 $122.51; CPT 90846 $76.89; CPT 90847 $79.71; CPT 90853 $20.10. Not on the published file: 90839.
What is the Washington Medicaid FFS amount for CPT 90837?
$122.51 (facility $97.82) from HCA Physician-related, effective 2026-07-01, last verified 2026-09-10.
What official file is the Washington Medicaid FFS extract from?
Washington State Health Care Authority: Physician-Related Services fee schedule, July 1, 2026 (updated 2026-07-21). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Washington 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 Washington Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Washington Medicaid fee-for-service pays $122.51 for CPT 90837, which is 71.8% of the lowest Washington Medicare non-facility amount ($170.61, CMS RVU26D). The UnitedHealthcare median is $146.12 (85.6% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.