Official Texas Medicaid FFS for CPT 90834 (Psychotherapy, 45 minutes with patient) is $86.07, 21-999 years from TMHP Physician, effective 2026-03-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $111.35 to $115.60 across 8 CMS localities. Source: CMS RVU26D, October 2026 release and the official Texas fee schedule. Not an MCO or commercial rate. The published UnitedHealthcare (Optum Behavioral Health) median is $95.74; the middle 80% of published UHC rates run from $69.41 to $150.41 (file dated 2026-09-01, counted by provider practice state). See what UnitedHealthcare pays in Texas.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Texas Medicaid FFS effective 2026-03-01 (TMHP Physician).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Austin | $115.60 | $92.28 | $86.07 | $95.74 | CMS MPFS |
Beaumont | $111.35 | $91.29 | $86.07 | $95.74 | CMS MPFS |
Brazoria | $114.18 | $92.34 | $86.07 | $95.74 | CMS MPFS |
Dallas | $114.46 | $92.50 | $86.07 | $95.74 | CMS MPFS |
Fort Worth | $114.19 | $92.46 | $86.07 | $95.74 | CMS MPFS |
Galveston | $114.27 | $92.38 | $86.07 | $95.74 | CMS MPFS |
Houston | $114.64 | $92.75 | $86.07 | $95.74 | CMS MPFS |
Rest Of Texas | $112.42 | $91.50 | $86.07 | $95.74 | CMS MPFS |
Compare an offered CPT 90834 rate in Texas 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 Texas (median $95.74).
Ask us to keep these figures current
Tell us you use the CPT 90834 figures for Texas. We use these requests to decide which codes and states to refresh first. Something missing or off? Let us know.
Questions
What is the Texas Medicaid FFS amount for CPT 90834?
Official Texas Medicaid FFS is $86.07, 21-999 years from TMHP Physician, effective 2026-03-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90834 in Texas?
For CPT 90834 (Psychotherapy, 45 minutes with patient) in Texas, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $111.35 to $115.60 across 8 CMS localities. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Texas Medicaid FFS compare to Medicare for CPT 90834?
Texas Medicaid FFS is $86.07; Medicare non-facility PFS is $111.35 to $115.60. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://public.tmhp.com/feeschedules/StaticFeeSchedule/FeeSchedules.aspx.
What is the UnitedHealthcare commercial median for CPT 90834 in Texas?
UnitedHealthcare Optum Health Behavioral Services (OHBS) professional median is $95.74 (10th percentile $69.41, 90th percentile $150.41; 322 rate rows; 15,271 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 Texas CPT 90834 amount a Medicaid MCO or commercial contracted rate?
Medicaid FFS ($86.07) is fee-for-service, not MCO. The commercial column is UnitedHealthcare median ($95.74 median) when loaded; Aetna and Anthem stay Coming soon.