Texas Medicaid fee-for-service pays $127.50 for CPT 90837 for patients 21 and older, effective 2026-03-01, per the TMHP physician fee schedule (verified 2026-09-10). Medicaid managed care (MCO) rates can differ. For comparison, the UnitedHealthcare Texas median is $127.94 and Medicare pays $163.35 to $169.51.
How we got this number: the published hub cell is the 21-999 years TMHP amount. Source file for UHC dated 2026-09-01.
Official Texas Medicaid FFS for CPT 90837 (Psychotherapy, 60 minutes with patient) is $127.50, 21-999 years from TMHP Physician, effective 2026-03-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $163.35 to $169.51 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 $127.94; the middle 80% of published UHC rates run from $80.35 to $192.00 (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 | $169.51 | $135.93 | $127.50 | $127.94 | CMS MPFS |
Beaumont | $163.35 | $134.47 | $127.50 | $127.94 | CMS MPFS |
Brazoria | $167.51 | $136.06 | $127.50 | $127.94 | CMS MPFS |
Dallas | $167.89 | $136.28 | $127.50 | $127.94 | CMS MPFS |
Fort Worth | $167.49 | $136.21 | $127.50 | $127.94 | CMS MPFS |
Galveston | $167.62 | $136.11 | $127.50 | $127.94 | CMS MPFS |
Houston | $167.99 | $136.48 | $127.50 | $127.94 | CMS MPFS |
Rest Of Texas | $164.90 | $134.78 | $127.50 | $127.94 | CMS MPFS |
Compare an offered CPT 90837 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 $127.94).
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Questions
What is the Texas Medicaid reimbursement rate for 90837?
$127.50 for patients 21 and older, effective 2026-03-01. Source: TMHP physician fee schedule, verified 2026-09-10. MCO rates can differ.
What does Texas Medicaid pay for 90834 and 90791?
CPT 90834: $86.07. CPT 90791: $137.93. Source: TMHP physician fee schedule, verified 2026-09-10.
What is the Texas Medicaid FFS amount for CPT 90837?
Official Texas Medicaid FFS is $127.50, 21-999 years from TMHP Physician, effective 2026-03-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90837 in Texas?
For CPT 90837 (Psychotherapy, 60 minutes with patient) in Texas, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $163.35 to $169.51 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 90837?
Texas Medicaid FFS is $127.50; Medicare non-facility PFS is $163.35 to $169.51. 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 90837 in Texas?
UnitedHealthcare Optum Health Behavioral Services (OHBS) professional median is $127.94 (10th percentile $80.35, 90th percentile $192.00; 319 rate rows; 15,267 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 90837 amount a Medicaid MCO or commercial contracted rate?
Medicaid FFS ($127.50) is fee-for-service, not MCO. The commercial column is UnitedHealthcare median ($127.94 median) when loaded; Aetna and Anthem stay Coming soon.