Official Virginia Medicaid FFS for CPT 90834 (Psychotherapy, 45 minutes with patient) is $116.44 (facility $93.90) from DMAS Procedure Fee, effective 2026-07-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $113.23. Source: CMS RVU26D, October 2026 release and the official Virginia fee schedule. Not an MCO or commercial rate. The published UnitedHealthcare (Optum Behavioral Health) median is $96.32; the middle 80% of published UHC rates run from $72.51 to $164.08 (file dated 2026-09-01, counted by provider practice state). See what UnitedHealthcare pays in Virginia.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Virginia Medicaid FFS effective 2026-07-01 (DMAS Procedure Fee).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Virginia | $113.23 | $91.56 | $116.44 | $96.32 | CMS MPFS |
Compare an offered CPT 90834 rate in Virginia 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 Virginia (median $96.32).
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Questions
What is the Virginia Medicaid FFS amount for CPT 90834?
Official Virginia Medicaid FFS is $116.44 (facility $93.90) from DMAS Procedure Fee, effective 2026-07-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90834 in Virginia?
For CPT 90834 (Psychotherapy, 45 minutes with patient) in Virginia, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $113.23 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Virginia Medicaid FFS compare to Medicare for CPT 90834?
Virginia Medicaid FFS is $116.44; Medicare non-facility PFS is $113.23. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/procedure-fee-files-cpt-codes/.
What is the UnitedHealthcare commercial median for CPT 90834 in Virginia?
UnitedHealthcare Optum Health Behavioral Services (OHBS) professional median is $96.32 (10th percentile $72.51, 90th percentile $164.08; 158 rate rows; 899 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 Virginia CPT 90834 amount a Medicaid MCO or commercial contracted rate?
Medicaid FFS ($116.44) is fee-for-service, not MCO. The commercial column is UnitedHealthcare median ($96.32 median) when loaded; Aetna and Anthem stay Coming soon.