UnitedHealthcare (Optum Behavioral Health) pays a median of $137.78 for CPT 90837 in Illinois. The middle 80% of published UHC rates runs from $85.31 to $189.82. Illinois Medicaid FFS pays $183.16 and Medicare pays $163.89 to $169.49. Sources: UHC Transparency in Coverage file dated 2026-09-01; CMS RVU26D, effective 2026-10-01.
How we got this number: Optum Health Behavioral Services in-network file, source file dated 2026-09-01. Counted by provider practice state. Not a Medicaid managed-care rate.
Compare a 90837 offer in Illinois with Contract Checker v1.3. CPT 90837 and Illinois are already filled in. Compare your number to the Illinois UHC median $137.78 (10th percentile $85.31, 90th percentile $189.82), plus Medicare NF and Medicaid FFS when parsed.
Published UHC rates in Illinois
| CPT | Low end (10th percentile) | Median | High end (90th percentile) | N (rates / NPIs) | State rate page |
|---|---|---|---|---|---|
| 90791 | $101.31 | $153.24 | $226.29 | 210 / 6,387 | 90791 / Illinois |
| 90832 | $51.74 | $71.45 | $97.25 | 209 / 5,857 | 90832 / Illinois |
| 90834 | $73.21 | $102.90 | $146.84 | 215 / 8,393 | 90834 / Illinois |
| 90837 | $85.31 | $137.78 | $189.82 | 207 / 5,692 | 90837 / Illinois |
How UnitedHealthcare compares with Medicare and Medicaid in Illinois
In Illinois, the published UnitedHealthcare (Optum Behavioral Health) median for CPT 90837 is $137.78, which is 84.1% of the lowest Illinois Medicare amount ($163.89, office setting, CMS RVU26D, effective 2026-10-01). The low end (10th percentile) is $85.31 and the high end (90th percentile) is $189.82, across 207 published rate rows in the UHC price transparency file dated 2026-09-01. Illinois Medicaid fee-for-service pays $183.16 (HFS Practitioner file, effective 2024-04-01).
| CPT | UHC median | Medicare | UHC as % of Medicare | Medicaid FFS |
|---|---|---|---|---|
| CPT 90837 | $137.78 | $163.89 to $169.49 | 84.1% | $183.16 |
| CPT 90834 | $102.90 | $111.86 to $115.76 | 92% | $124.06 |
| CPT 90791 | $153.24 | $169.86 to $175.96 | 90.2% | $122.11 |
| CPT 90832 | $71.45 | $84.23 to $87.11 | 84.8% | $46.98 |
Official FFS hubs for Illinois
- CPT 90837 Medicare and Medicaid FFS in Illinois
- Illinois Medicaid FFS hub
- Compare a 90837 offer in Illinois
- All UnitedHealthcare jurisdictions
- CPT 90834 rates
Questions
What does UHC pay for 90837 in Illinois?
UHC (UnitedHealthcare / Optum Behavioral Health) pays a median of $137.78 for CPT 90837 in Illinois (10th percentile $85.31, 90th percentile $189.82; 207 rate rows). Source: UHC Transparency in Coverage file dated 2026-09-01.
What does UHC pay for 90834 in Illinois?
The UHC median for CPT 90834 in Illinois is $102.90 (10th percentile $73.21, 90th percentile $146.84). Source: UHC Transparency in Coverage file dated 2026-09-01.
How do I check a 90837 offer in Illinois?
Paste the offered dollar into the Contract Checker with CPT 90837 and Illinois (https://goparite.com/tools/contract-checker?code=90837&state=IL). It shows the offer against Medicare, Medicaid FFS when parsed, and the UHC 10th percentile, median, and 90th percentile.
What does UnitedHealthcare pay for CPT 90837 in Illinois?
Illinois CPT 90837 UnitedHealthcare Optum Behavioral Health professional median is $137.78 (10th percentile $85.31, 90th percentile $189.82; 207 rate rows; 5,692 NPIs). How we got this number: source file dated 2026-09-01. Medicare amounts use the CMS Physician Fee Schedule. Medicaid amounts use that state's published fee-for-service schedule when parsed. UnitedHealthcare figures are Optum Behavioral Health professional percentiles from the Transparency in Coverage (TiC) file. Geography is the practice-location state on the in-network file, not a Medicaid managed-care rate. Aetna and Anthem stay Coming soon.
What is the UnitedHealthcare 90834 median in Illinois?
Illinois CPT 90834 UHC professional median is $102.90 (10th percentile $73.21, 90th percentile $146.84; 215 rate rows; 8,393 NPIs). Same Optum Behavioral Health file as 90837. Aetna and Anthem stay Coming soon.
Are 90832 and 90791 loaded for UnitedHealthcare in Illinois?
Yes. Illinois UHC medians: CPT 90832 $71.45; CPT 90791 $153.24. Same professional outpatient negotiated extract.
How does Illinois Medicaid FFS compare to UHC for CPT 90837?
Illinois Medicaid FFS is $183.16; Medicare non-facility PFS is $163.89; the UHC median is $137.78. These are different programs. Medicaid FFS is official fee-for-service, not MCO.
How does UnitedHealthcare pay for 90837 in Illinois compared with Medicare?
The published UnitedHealthcare median for CPT 90837 in Illinois is $137.78, or 84.1% of the lowest Illinois Medicare office amount ($163.89, CMS RVU26D). Half of published UHC rates sit below the median and half above; 10% are below $85.31. Source: UHC price transparency file dated 2026-09-01.
Are Aetna or Anthem commercial rates listed for Illinois UnitedHealthcare?
No. Only fetched UnitedHealthcare Optum Behavioral Health percentiles are shown. Aetna, Anthem, Cigna, and Humana commercial cells stay Coming soon.
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