California 90791 Rate 2026: Medicaid $128.08, UHC $167.62

Official California Medicaid FFS for CPT 90791 (Psychiatric diagnostic evaluation) is $128.08 from Medi-Cal Rates, effective 2026-08-15, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $179.49 to $206.78 across 29 CMS localities. Source: CMS RVU26D, October 2026 release and the official California fee schedule. Not an MCO or commercial rate. The published UnitedHealthcare (Optum Behavioral Health) median is $167.62; the middle 80% of published UHC rates run from $110.00 to $284.48 (file dated 2026-09-01, counted by provider practice state). See what UnitedHealthcare pays in California.

Last updated 2026-10-04

Last verified 2026-09-10. Medicare effective 2026-10-01. California Medicaid FFS effective 2026-08-15 (Medi-Cal Rates).

CPT 90791 in California: Medicare localities (CMS RVU26D, October 2026 release) and Medicaid FFS (Medi-Cal Rates, eff. 2026-08-15)
Locality	Medicare non-facility	Medicare facility	Medicaid FFS	Commercial	Source
Bakersfield CA locality 54	$179.79	$140.26	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Chico CA locality 55	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
El Centro CA locality 71	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Fresno CA locality 56	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Hanford-Corcoran CA locality 57	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) CA locality 18	$186.51	$143.84	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Madera CA locality 58	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Merced CA locality 59	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Modesto CA locality 60	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Napa CA locality 51	$195.23	$147.68	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Oxnard-Thousand Oaks-Ventura CA locality 17	$184.78	$142.14	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Redding CA locality 61	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Rest Of California CA locality 75	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Riverside-San Bernardino-Ontario CA locality 62	$179.83	$140.29	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Sacramento-Roseville-Folsom CA locality 63	$184.90	$142.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Salinas CA locality 64	$184.08	$142.27	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Diego-Chula Vista-Carlsbad CA locality 72	$185.60	$142.46	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Francisco-Oakland-Berkeley (Marin Cnty) CA locality 52	$203.39	$152.52	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) CA locality 05	$203.36	$152.50	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Jose-Sunnyvale-Santa Clara (San Benito Cnty) CA locality 65	$206.78	$154.77	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) CA locality 09	$206.69	$154.67	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
San Luis Obispo-Paso Robles CA locality 73	$181.40	$140.31	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Santa Cruz-Watsonville CA locality 66	$185.29	$141.46	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Santa Maria-Santa Barbara CA locality 74	$184.01	$141.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Santa Rosa-Petaluma CA locality 67	$187.02	$142.72	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Stockton CA locality 68	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Vallejo CA locality 53	$195.20	$147.65	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Visalia CA locality 69	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01
Yuba City CA locality 70	$179.49	$139.95	$128.08 Medi-Cal Rates eff. 2026-08-15 · verified 2026-09-10 Official source	$167.62 UnitedHealthcare median · Optum Health Behavioral Services (OHBS) 10th percentile $110.00 · 90th percentile $284.48 438 rate rows · 14,768 NPIs · source file dated 2026-09-01 Methodology · UHC CA state page · UHC price file Aetna · Anthem Coming soon	CMS MPFS RVU26D · eff. 2026-10-01 Medi-Cal Rates eff. 2026-08-15 UnitedHealthcare · source file dated 2026-09-01

Compare an offered CPT 90791 rate in California on Contract Checker v1.3 (code and state prefilled). When UnitedHealthcare publishes rates for this code and state, the tool also compares your offer to the UHC median and the middle 80% of UHC rates, alongside Medicare and Medicaid FFS. UnitedHealthcare in California (median $167.62).

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Questions

What is the California Medicaid FFS amount for CPT 90791?

Official California Medicaid FFS is $128.08 from Medi-Cal Rates, effective 2026-08-15, last verified 2026-09-10.

What is the 2026 Medicare rate for CPT 90791 in California?

For CPT 90791 (Psychiatric diagnostic evaluation) in California, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $179.49 to $206.78 across 29 CMS localities. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.

How does California Medicaid FFS compare to Medicare for CPT 90791?

California Medicaid FFS is $128.08; Medicare non-facility PFS is $179.49 to $206.78. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://mcweb.apps.prd.cammis.medi-cal.ca.gov/rates?tab=rates.

What is the UnitedHealthcare commercial median for CPT 90791 in California?

UnitedHealthcare Optum Health Behavioral Services (OHBS) professional median is $167.62 (10th percentile $110.00, 90th percentile $284.48; 438 rate rows; 14,768 NPIs). Source: 2026-09-01 UnitedHealthcare of Ohio, Inc. Optum-Health-Behavioral-Services in-network-rates.json.gz, source file dated 2026-09-01. Counted by provider practice state. Aetna and Anthem stay Coming soon. Not an MCO rate.

Is this California CPT 90791 amount a Medicaid MCO or commercial contracted rate?

Medicaid FFS ($128.08) is fee-for-service, not MCO. The commercial column is UnitedHealthcare median ($167.62 median) when loaded; Aetna and Anthem stay Coming soon.

California 90791 rate (2026): Medicaid FFS $128.08, UHC median $167.62, Medicare $179.49 to $206.78