Updated October 4, 2026. Medicare pays $202.08 for CPT 90792 in 2026 (national non-facility), from $191.22 to $272.73 by locality. Medicaid fee-for-service ranges from $103.25 (California) to $379.80 (Alaska) across the 24 jurisdictions we load. The UnitedHealthcare file we load has no CPT 90792 rate. Sources: CMS RVU26D, effective 2026-10-01; state fee schedules verified 2026-09-10.
How we got this number: Medicare uses RVU26D, October 2026 release, effective 2026-10-01. Medicaid FFS verified 2026-09-10. No UnitedHealthcare cell is loaded for CPT 90792.
For CPT 90792 (Psychiatric diagnostic evaluation with medical services), the CY 2026 Medicare non-facility Physician Fee Schedule amount is $202.08 at GPCI 1.0. Across 53 mapped jurisdictions it ranges from $191.22 to $272.73. Facility national amount: $159.32. Source: CMS RVU26D, October 2026 release, non-QP conversion factor 33.4009, effective 2026-10-01.
Official Medicaid FFS is parsed for Alaska $379.80; Arizona $204.13; California $103.25; District of Columbia $176.36; Florida $157.16; Illinois $124.44; Indiana $181.51; Kentucky $105.30; Louisiana $159.57; Michigan $128.87; Missouri $198.50; Mississippi $173.35; Montana $284.05; North Dakota $223.42; Nebraska $333.40; Nevada $130.50; New York $200.62; Ohio $130.20; Oklahoma $176.64; South Carolina $131.58; Texas $155.30; Virginia $206.58; Washington $120.20; West Virginia $141.76. Other states remain Coming soon. See Methodology and Data Sources.
Last updated
Medicaid 90792 rate by state
Official Medicaid fee-for-service amounts for CPT 90792 in the 24 jurisdictions we load, verified 2026-09-10. Highest and lowest five shown. Every state is in the full table further down.
| State | Medicaid FFS | Effective |
|---|---|---|
| Highest 5 | ||
| Alaska | $379.80 | 2026-07-01 |
| Nebraska | $333.40 | 2025-07-01 |
| Montana | $284.05 | 2026-07-01 |
| North Dakota | $223.42 | 2026-08-01 |
| Virginia | $206.58 | 2026-07-01 |
| Lowest 5 | ||
| Michigan | $128.87 | 2026-07-01 |
| Illinois | $124.44 | 2019-07-01 |
| Washington | $120.20 | 2026-07-01 |
| Kentucky | $105.30 | 2026-01-01 |
| California | $103.25 | 2026-08-15 |
Commercial percentiles: UnitedHealthcare Optum Behavioral Health is loaded for CPT 90837, 90834, 90832, and 90791 in 51 jurisdictions when that code is in the extract. Aetna, Anthem, Cigna, and Humana stay Coming soon until those files are parsed. Compare a pasted offer on the Contract Checker.
Last verified 2026-09-10. Medicare file effective 2026-10-01. Medicaid effective dates are printed on each cell.
| Jurisdiction | Medicare non-facility | Localities | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
| Alaska | $272.73 | 1 | $379.80 | Coming soon | CMS MPFS |
| Alabama | $192.43 | 1 | Coming soon | Coming soon | CMS MPFS |
| Arkansas | $191.22 | 1 | Coming soon | Coming soon | CMS MPFS |
| Arizona | $199.48 | 1 | $204.13 | Coming soon | CMS MPFS |
| California | $207.32 – $240.12 | 29 | $103.25 | Coming soon | CMS MPFS |
| Colorado | $206.18 | 1 | Coming soon | Coming soon | CMS MPFS |
| Connecticut | $210.47 | 1 | Coming soon | Coming soon | CMS MPFS |
| District of Columbia | $220.45 | 1 | $176.36 | Coming soon | CMS MPFS |
| Delaware | $201.51 | 1 | Coming soon | Coming soon | CMS MPFS |
| Florida | $202.40 – $213.11 | 3 | $157.16 | Coming soon | CMS MPFS |
| Georgia | $196.96 – $204.55 | 2 | Coming soon | Coming soon | CMS MPFS |
| Hawaii | $207.56 | 1 | Coming soon | Coming soon | CMS MPFS |
| Iowa | $193.77 | 1 | Coming soon | Coming soon | CMS MPFS |
| Idaho | $194.49 | 1 | Coming soon | Coming soon | CMS MPFS |
| Illinois | $200.27 – $210.69 | 4 | $124.44 | Coming soon | CMS MPFS |
| Indiana | $194.96 | 1 | $181.51 | Coming soon | CMS MPFS |
| Kansas | $193.74 | 1 | Coming soon | Coming soon | CMS MPFS |
| Kentucky | $195.22 | 1 | $105.30 | Coming soon | CMS MPFS |
| Louisiana | $195.23 – $199.46 | 2 | $159.57 | Coming soon | CMS MPFS |
| Massachusetts | $206.19 – $218.29 | 2 | Coming soon | Coming soon | CMS MPFS |
| Maryland | $203.69 – $209.84 | 2 | Coming soon | Coming soon | CMS MPFS |
| Maine | $195.33 – $199.46 | 2 | Coming soon | Coming soon | CMS MPFS |
| Michigan | $197.81 – $203.96 | 2 | $128.87 | Coming soon | CMS MPFS |
| Minnesota | $199.74 | 1 | Coming soon | Coming soon | CMS MPFS |
| Missouri | $194.00 – $199.33 | 3 | $198.50 | Coming soon | CMS MPFS |
| Mississippi | $192.61 | 1 | $173.35 | Coming soon | CMS MPFS |
| Montana | $202.06 | 1 | $284.05 | Coming soon | CMS MPFS |
| North Carolina | $196.18 | 1 | Coming soon | Coming soon | CMS MPFS |
| North Dakota | $198.70 | 1 | $223.42 | Coming soon | CMS MPFS |
| Nebraska | $194.12 | 1 | $333.40 | Coming soon | CMS MPFS |
| New Hampshire | $203.72 | 1 | Coming soon | Coming soon | CMS MPFS |
| New Jersey | $213.47 – $220.41 | 2 | Coming soon | Coming soon | CMS MPFS |
| New Mexico | $198.45 | 1 | Coming soon | Coming soon | CMS MPFS |
| Nevada | $201.18 | 1 | $130.50 | Coming soon | CMS MPFS |
| New York | $197.52 – $226.69 | 5 | $200.62 | Coming soon | CMS MPFS |
| Ohio | $197.12 | 1 | $130.20 | Coming soon | CMS MPFS |
| Oklahoma | $194.66 | 1 | $176.64 | Coming soon | CMS MPFS |
| Oregon | $200.16 – $209.22 | 2 | Coming soon | Coming soon | CMS MPFS |
| Pennsylvania | $197.05 – $208.03 | 2 | Coming soon | Coming soon | CMS MPFS |
| Puerto Rico | $202.62 | 1 | Coming soon | Coming soon | CMS MPFS |
| Rhode Island | $206.00 | 1 | Coming soon | Coming soon | CMS MPFS |
| South Carolina | $196.86 | 1 | $131.58 | Coming soon | CMS MPFS |
| South Dakota | $198.31 | 1 | Coming soon | Coming soon | CMS MPFS |
| Tennessee | $194.22 | 1 | Coming soon | Coming soon | CMS MPFS |
| Texas | $196.50 – $205.04 | 8 | $155.30 | Coming soon | CMS MPFS |
| Utah | $198.05 | 1 | Coming soon | Coming soon | CMS MPFS |
| Virginia | $199.43 | 1 | $206.58 | Coming soon | CMS MPFS |
| U.S. Virgin Islands | $202.62 | 1 | Coming soon | Coming soon | CMS MPFS |
| Vermont | $198.70 | 1 | Coming soon | Coming soon | CMS MPFS |
| Washington | $205.57 – $221.02 | 2 | $120.20 | Coming soon | CMS MPFS |
| Wisconsin | $195.73 | 1 | Coming soon | Coming soon | CMS MPFS |
| West Virginia | $197.00 | 1 | $141.76 | Coming soon | CMS MPFS |
| Wyoming | $200.60 | 1 | Coming soon | Coming soon | CMS MPFS |
Questions
What is the 2026 Medicare rate for CPT 90792?
$202.08 national non-facility (GPCI 1.0), ranging from $191.22 to $272.73 by locality. Source: CMS RVU26D, effective 2026-10-01.
Does UnitedHealthcare publish a rate for CPT 90792?
No. The loaded UnitedHealthcare file covers CPT 90837, 90834, 90832, and 90791. CPT 90792 is not in that file. Medicare and parsed Medicaid FFS amounts are still shown.
Which states have official Medicaid FFS amounts for CPT 90792?
Official Medicaid FFS cells are parsed for Alaska $379.80 (eff. 2026-07-01, Alaska Medicaid Physician); Arizona $204.13 (eff. 2026-07-01, AHCCCS FFS Physician); California $103.25 (eff. 2026-08-15, Medi-Cal Rates); District of Columbia $176.36 (eff. 2026-01-01, DHCF DCPFS26001); Florida $157.16 (eff. 2026-01-01, AHCA Practitioner); Illinois $124.44 (eff. 2019-07-01, HFS Practitioner); Indiana $181.51 (eff. 2026-01-01, IHCP Professional); Kentucky $105.30 (eff. 2026-01-01, DMS Physician); Louisiana $159.57 (eff. 2025-07-01, LDH Professional); Michigan $128.87 (eff. 2026-07-01, MDHHS Practitioner); Missouri $198.50 (eff. 2024-01-01, MO HealthNet Behavioral Health); Mississippi $173.35 (eff. 2026-07-01, MS DOM Comprehensive); Montana $284.05 (eff. 2026-07-01, MT DPHHS Physician); North Dakota $223.42 (eff. 2026-08-01, ND Medicaid Professional); Nebraska $333.40 (eff. 2025-07-01, NE DHHS Mental Health); Nevada $130.50 (eff. 2024-01-01, DHCFP PT 20 Physician); New York $200.62 (eff. 2026-07-01, eMedNY Physician); Ohio $130.20 (eff. 2024-01-01, ODM Appendix DD); Oklahoma $176.64 (eff. 2026-07-01, OHCA Title XIX); South Carolina $131.58 (eff. 2024-07-01, SCDHHS Base Physician); Texas $155.30 (eff. 2026-03-01, TMHP Physician); Virginia $206.58 (eff. 2026-07-01, DMAS Procedure Fee); Washington $120.20 (eff. 2026-07-01, HCA Physician-related); West Virginia $141.76 (eff. 2026-04-01, WV BMS RBRVS). Other states stay Coming soon until that state's published file is parsed. Amounts are not blended across age bands or procedure types.
What is the Alaska Medicaid FFS amount for CPT 90792?
Alaska Medicaid FFS for CPT 90792 is $379.80 from Alaska Medicaid Physician, effective 2026-07-01, last verified 2026-09-10. Source: https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/FeeSchedule.html.
Does Parite list Medicaid MCO or commercial rates for CPT 90792?
Official Medicaid fee-for-service cells are shown beside Medicare. Commercial price transparency percentiles stay Coming soon unless a fetched in-network file is parsed. Medicaid MCO rates stay Coming soon.
When were these CPT 90792 amounts last verified?
Medicare amounts use CMS RVU26D, October 2026 release (released 2026-08-26, effective 2026-10-01 through 2026-12-31). Medicaid FFS last-verified dates are printed on each parsed cell (dataset verified 2026-09-10). See Methodology, Data Sources, and each official source link.
Related official rates
RVUs used
Work 4.16; non-facility PE 1.72; facility PE 0.44; MP 0.17. CMS short descriptor: Psych diag eval w/med srvcs.