UHC · NY · Optum Behavioral Health

What does UnitedHealthcare pay for 90837 in New York?

UnitedHealthcare / Optum Behavioral Health, 2026 published rates

UnitedHealthcare (Optum Behavioral Health) pays a median of $131.26 for CPT 90837 in New York. The middle 80% of published UHC rates runs from $78.75 to $203.82. New York Medicaid FFS pays $161.13 and Medicare pays $164.80 to $183.23. 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 New York with Contract Checker v1.3. CPT 90837 and New York are already filled in. Compare your number to the New York UHC median $131.26 (10th percentile $78.75, 90th percentile $203.82), plus Medicare NF and Medicaid FFS when parsed.

Published UHC rates in New York

UnitedHealthcare Optum Health Behavioral Services (OHBS) 10th percentile / median / 90th percentile in New York (source file dated 2026-09-01)
CPTLow end (10th percentile)MedianHigh end (90th percentile)N (rates / NPIs)State rate page
90791
Psychiatric diagnostic evaluation
$95.00$150.00$239.87339 / 14,66990791 / New York
90832
Psychotherapy, 30 minutes with patient
$42.77$70.10$113.53339 / 14,69090832 / New York
90834
Psychotherapy, 45 minutes with patient
$70.21$96.32$167.67340 / 14,69490834 / New York
90837
Psychotherapy, 60 minutes with patient
$78.75$131.26$203.82330 / 14,65790837 / New York

How UnitedHealthcare compares with Medicare and Medicaid in New York

In New York, the published UnitedHealthcare (Optum Behavioral Health) median for CPT 90837 is $131.26, which is 79.6% of the lowest New York Medicare amount ($164.80, office setting, CMS RVU26D, effective 2026-10-01). The low end (10th percentile) is $78.75 and the high end (90th percentile) is $203.82, across 330 published rate rows in the UHC price transparency file dated 2026-09-01. New York Medicaid fee-for-service pays $161.13 (eMedNY Physician file, effective 2026-07-01).

New York: UnitedHealthcare median vs Medicare non-facility (CMS RVU26D) vs Medicaid FFS, by CPT code
CPTUHC medianMedicareUHC as % of MedicareMedicaid FFS
CPT 90837$131.26
middle 80%: $78.75 to $203.82
$164.80 to $183.2379.6%$161.13
CPT 90834$96.32
middle 80%: $70.21 to $167.67
$112.31 to $125.1885.8%$110.09
CPT 90791$150.00
middle 80%: $95.00 to $239.87
$170.93 to $190.5387.8%$177.67
CPT 90832$70.10
middle 80%: $42.77 to $113.53
$84.71 to $94.1982.8%$83.42

Percent of Medicare uses the lowest Medicare non-facility locality in New York. UnitedHealthcare figures are published negotiated rates from the price transparency file dated 2026-09-01, counted by provider practice state. Medicaid FFS is the official state fee schedule, not a Medicaid health plan rate. See New York Medicaid rates.

Cite this: Parite, “UnitedHealthcare, Medicare, and Medicaid rates for therapy codes in New York,” https://goparite.com/payers/uhc/new-york#compare, updated 2026-10-10.

Official FFS hubs for New York

Questions

What does UHC pay for 90837 in New York?

UHC (UnitedHealthcare / Optum Behavioral Health) pays a median of $131.26 for CPT 90837 in New York (10th percentile $78.75, 90th percentile $203.82; 330 rate rows). Source: UHC Transparency in Coverage file dated 2026-09-01.

What does UHC pay for 90834 in New York?

The UHC median for CPT 90834 in New York is $96.32 (10th percentile $70.21, 90th percentile $167.67). Source: UHC Transparency in Coverage file dated 2026-09-01.

How do I check a 90837 offer in New York?

Paste the offered dollar into the Contract Checker with CPT 90837 and New York (https://goparite.com/tools/contract-checker?code=90837&state=NY). 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 New York?

New York CPT 90837 UnitedHealthcare Optum Behavioral Health professional median is $131.26 (10th percentile $78.75, 90th percentile $203.82; 330 rate rows; 14,657 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 New York?

New York CPT 90834 UHC professional median is $96.32 (10th percentile $70.21, 90th percentile $167.67; 340 rate rows; 14,694 NPIs). Same Optum Behavioral Health file as 90837. Aetna and Anthem stay Coming soon.

Are 90832 and 90791 loaded for UnitedHealthcare in New York?

Yes. New York UHC medians: CPT 90832 $70.10; CPT 90791 $150.00. Same professional outpatient negotiated extract.

How does New York Medicaid FFS compare to UHC for CPT 90837?

New York Medicaid FFS is $161.13; Medicare non-facility PFS is $164.80; the UHC median is $131.26. These are different programs. Medicaid FFS is official fee-for-service, not MCO.

How does UnitedHealthcare pay for 90837 in New York compared with Medicare?

The published UnitedHealthcare median for CPT 90837 in New York is $131.26, or 79.6% of the lowest New York Medicare office amount ($164.80, CMS RVU26D). Half of published UHC rates sit below the median and half above; 10% are below $78.75. Source: UHC price transparency file dated 2026-09-01.

Are Aetna or Anthem commercial rates listed for New York 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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