UnitedHealthcare (Optum Behavioral Health) pays a median of $128.89 for CPT 90837 in North Carolina. The middle 80% of published UHC rates runs from $102.47 to $184.60. North Carolina Medicaid FFS is Coming soon and Medicare pays $164.08. 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 North Carolina with Contract Checker v1.3. CPT 90837 and North Carolina are already filled in. Compare your number to the North Carolina UHC median $128.89 (10th percentile $102.47, 90th percentile $184.60), plus Medicare NF and Medicaid FFS when parsed.
Published UHC rates in North Carolina
| CPT | Low end (10th percentile) | Median | High end (90th percentile) | N (rates / NPIs) | State rate page |
|---|---|---|---|---|---|
| 90791 | $109.00 | $152.04 | $224.81 | 143 / 1,018 | 90791 / North Carolina |
| 90832 | $50.56 | $67.02 | $100.95 | 144 / 1,021 | 90832 / North Carolina |
| 90834 | $72.81 | $95.00 | $150.50 | 146 / 1,014 | 90834 / North Carolina |
| 90837 | $102.47 | $128.89 | $184.60 | 145 / 1,020 | 90837 / North Carolina |
How UnitedHealthcare compares with Medicare and Medicaid in North Carolina
In North Carolina, the published UnitedHealthcare (Optum Behavioral Health) median for CPT 90837 is $128.89, which is 78.6% of the lowest North Carolina Medicare amount ($164.08, office setting, CMS RVU26D, effective 2026-10-01). The low end (10th percentile) is $102.47 and the high end (90th percentile) is $184.60, across 145 published rate rows in the UHC price transparency file dated 2026-09-01.
| CPT | UHC median | Medicare | UHC as % of Medicare | Medicaid FFS |
|---|---|---|---|---|
| CPT 90837 | $128.89 | $164.08 | 78.6% | Not parsed yet |
| CPT 90834 | $95.00 | $111.80 | 85% | Not parsed yet |
| CPT 90791 | $152.04 | $170.13 | 89.4% | Not parsed yet |
| CPT 90832 | $67.02 | $84.33 | 79.5% | Not parsed yet |
Official FFS hubs for North Carolina
- CPT 90837 Medicare and Medicaid FFS in North Carolina
- Compare a 90837 offer in North Carolina
- All UnitedHealthcare jurisdictions
- CPT 90834 rates
Questions
What does UHC pay for 90837 in North Carolina?
UHC (UnitedHealthcare / Optum Behavioral Health) pays a median of $128.89 for CPT 90837 in North Carolina (10th percentile $102.47, 90th percentile $184.60; 145 rate rows). Source: UHC Transparency in Coverage file dated 2026-09-01.
What does UHC pay for 90834 in North Carolina?
The UHC median for CPT 90834 in North Carolina is $95.00 (10th percentile $72.81, 90th percentile $150.50). Source: UHC Transparency in Coverage file dated 2026-09-01.
How do I check a 90837 offer in North Carolina?
Paste the offered dollar into the Contract Checker with CPT 90837 and North Carolina (https://goparite.com/tools/contract-checker?code=90837&state=NC). 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 North Carolina?
North Carolina CPT 90837 UnitedHealthcare Optum Behavioral Health professional median is $128.89 (10th percentile $102.47, 90th percentile $184.60; 145 rate rows; 1,020 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 North Carolina?
North Carolina CPT 90834 UHC professional median is $95.00 (10th percentile $72.81, 90th percentile $150.50; 146 rate rows; 1,014 NPIs). Same Optum Behavioral Health file as 90837. Aetna and Anthem stay Coming soon.
Are 90832 and 90791 loaded for UnitedHealthcare in North Carolina?
Yes. North Carolina UHC medians: CPT 90832 $67.02; CPT 90791 $152.04. Same professional outpatient negotiated extract.
How does UnitedHealthcare pay for 90837 in North Carolina compared with Medicare?
The published UnitedHealthcare median for CPT 90837 in North Carolina is $128.89, or 78.6% of the lowest North Carolina Medicare office amount ($164.08, CMS RVU26D). Half of published UHC rates sit below the median and half above; 10% are below $102.47. Source: UHC price transparency file dated 2026-09-01.
Are Aetna or Anthem commercial rates listed for North Carolina 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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