Payer rates · Aetna

Is my Aetna contract below market for therapy?

Aetna commercial rates are Coming soon. Benchmark an Aetna offer against published rates today.

Parite does not yet publish Aetna commercial rates (Coming soon). You can still test an Aetna offer against published benchmarks. In Texas, CPT 90837 pays $163.35 to $169.51 under Medicare, $127.50 under Medicaid FFS, and a $127.94 median under UnitedHealthcare. An offer below all three sits at the low end of published rates.

How we got this number: no Aetna Transparency in Coverage cell is loaded. The Texas figures are Medicare, TMHP Medicaid FFS (verified 2026-09-10), and UHC source file dated 2026-09-01.

Aetna commercial: Coming soon. No allowed amount, median, or percentile is shown because no Transparency in Coverage extract for this payer is in this dataset. Aetna is part of CVS Health. Official two-source psychotherapy hubs (Medicare PFS + Medicaid FFS) are linked below.

How Aetna rates will be sourced

  1. Commercial cells will come from Aetna / CVS Health Transparency in Coverage in-network files, summarized as percentiles for a stated CPT, geography, and billing class. Until that extract is loaded, every Aetna commercial column stays Coming soon.
  2. Medicare amounts on linked hubs are calculated from the CMS Physician Fee Schedule RVU and GPCI files (currently RVU26D, October 2026). Medicaid FFS amounts are copied from official state professional fee schedules. Those two sources are independent of Aetna contracts.
  3. Aetna Medicaid MCO and Medicare Advantage plan rates are not FFS. They are not inferred from state FFS or from CMS PFS.

Official 90837 Medicaid FFS cells (not Aetna contracts)

These dollars are state Medicaid fee-for-service, not Aetna commercial or MCO rates.

Sample official CPT 90837 Medicaid FFS cells to compare with Aetna
JurisdictionMedicaid FFSFacilityEffectiveTwo-source hub
Ohio$108.57$75.772024-01-0190837 / Ohio
Michigan$106.50$86.272026-07-0190837 / Michigan
Texas$127.50n/a2026-03-0190837 / Texas
California$98.02n/a2026-08-1590837 / California
North Dakota$187.37n/a2026-08-0190837 / North Dakota
Montana$234.75$190.152026-07-0190837 / Montana

Related official rates

Questions

Is my Aetna contract below market for therapy?

Parite has no Aetna commercial rates yet. Compare your Aetna rate to Medicare, your state's Medicaid FFS rate, and the UnitedHealthcare median for the same code and state in the Contract Checker.

When will Aetna rates be available?

Aetna rates will be added from Aetna's Transparency in Coverage files once they are parsed. Until then, every Aetna column shows Coming soon.

What is the Aetna commercial rate for CPT 90837?

Aetna commercial allowed amounts are Coming soon. Use official Medicare PFS and parsed Medicaid FFS hubs until Aetna machine-readable files are loaded.

Does Parite include Aetna Medicaid MCO rates?

No. Medicaid MCO and Medicare Advantage rates are not inferred from state FFS or CMS PFS. Official Medicaid FFS cells are on /medicaid and /rates/{code}/{state}.