What does UnitedHealthcare pay for 90837 in West Virginia?

Name: UnitedHealthcare Optum Behavioral Health rates: West Virginia
Creator: Parite
License: https://transparency-in-coverage.uhc.com/

UnitedHealthcare (Optum Behavioral Health) pays a median of $137.78 for CPT 90837 in West Virginia. The middle 80% of published UHC rates runs from $105.12 to $162.37. West Virginia Medicaid FFS pays $116.39 and Medicare pays $162.04. 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 West Virginia with Contract Checker v1.3. CPT 90837 and West Virginia are already filled in. Compare your number to the West Virginia UHC median $137.78 (10th percentile $105.12, 90th percentile $162.37), plus Medicare NF and Medicaid FFS when parsed.

Published UHC rates in West Virginia

UnitedHealthcare Optum Health Behavioral Services (OHBS) 10th percentile / median / 90th percentile in West Virginia (source file dated 2026-09-01)
CPT	Low end (10th percentile)	Median	High end (90th percentile)	N (rates / NPIs)	State rate page
90791 Psychiatric diagnostic evaluation	$110.00	$156.57	$214.06	45 / 215	90791 / West Virginia
90832 Psychotherapy, 30 minutes with patient	$51.49	$72.16	$93.98	46 / 215	90832 / West Virginia
90834 Psychotherapy, 45 minutes with patient	$73.06	$95.97	$139.20	46 / 215	90834 / West Virginia
90837 Psychotherapy, 60 minutes with patient	$105.12	$137.78	$162.37	45 / 215	90837 / West Virginia

How UnitedHealthcare compares with Medicare and Medicaid in West Virginia

In West Virginia, the published UnitedHealthcare (Optum Behavioral Health) median for CPT 90837 is $137.78, which is 85% of the lowest West Virginia Medicare amount ($162.04, office setting, CMS RVU26D, effective 2026-10-01). The low end (10th percentile) is $105.12 and the high end (90th percentile) is $162.37, across 45 published rate rows in the UHC price transparency file dated 2026-09-01. West Virginia Medicaid fee-for-service pays $116.39 (WV BMS RBRVS file, effective 2026-04-01).

West Virginia: UnitedHealthcare median vs Medicare non-facility (CMS RVU26D) vs Medicaid FFS, by CPT code
CPT	UHC median	Medicare	UHC as % of Medicare	Medicaid FFS
CPT 90837	$137.78 middle 80%: $105.12 to $162.37	$162.04	85%	$116.39
CPT 90834	$95.97 middle 80%: $73.06 to $139.20	$110.55	86.8%	$79.54
CPT 90791	$156.57 middle 80%: $110.00 to $214.06	$167.82	93.3%	$120.78
CPT 90832	$72.16 middle 80%: $51.49 to $93.98	$83.27	86.7%	$59.78

Percent of Medicare uses the lowest Medicare non-facility locality in West Virginia. 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 West Virginia Medicaid rates.

Cite this: Parite, “UnitedHealthcare, Medicare, and Medicaid rates for therapy codes in West Virginia,” https://goparite.com/payers/uhc/west-virginia#compare, updated 2026-10-10.

Official FFS hubs for West Virginia

Questions

What does UHC pay for 90837 in West Virginia?

UHC (UnitedHealthcare / Optum Behavioral Health) pays a median of $137.78 for CPT 90837 in West Virginia (10th percentile $105.12, 90th percentile $162.37; 45 rate rows). Source: UHC Transparency in Coverage file dated 2026-09-01.

What does UHC pay for 90834 in West Virginia?

The UHC median for CPT 90834 in West Virginia is $95.97 (10th percentile $73.06, 90th percentile $139.20). Source: UHC Transparency in Coverage file dated 2026-09-01.

How do I check a 90837 offer in West Virginia?

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

West Virginia CPT 90837 UnitedHealthcare Optum Behavioral Health professional median is $137.78 (10th percentile $105.12, 90th percentile $162.37; 45 rate rows; 215 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 West Virginia?

West Virginia CPT 90834 UHC professional median is $95.97 (10th percentile $73.06, 90th percentile $139.20; 46 rate rows; 215 NPIs). Same Optum Behavioral Health file as 90837. Aetna and Anthem stay Coming soon.

Are 90832 and 90791 loaded for UnitedHealthcare in West Virginia?

Yes. West Virginia UHC medians: CPT 90832 $72.16; CPT 90791 $156.57. Same professional outpatient negotiated extract.

How does West Virginia Medicaid FFS compare to UHC for CPT 90837?

West Virginia Medicaid FFS is $116.39; Medicare non-facility PFS is $162.04; 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 West Virginia compared with Medicare?

The published UnitedHealthcare median for CPT 90837 in West Virginia is $137.78, or 85% of the lowest West Virginia Medicare office amount ($162.04, CMS RVU26D). Half of published UHC rates sit below the median and half above; 10% are below $105.12. Source: UHC price transparency file dated 2026-09-01.

Are Aetna or Anthem commercial rates listed for West Virginia 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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