Official Indiana Medicaid FFS for CPT 90846 (Family psychotherapy without the patient, 50 minutes) is $96.75 (facility $96.45) from IHCP Professional, effective 2026-01-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $104.39. Source: CMS RVU26D, October 2026 release and the official Indiana fee schedule. Not an MCO or commercial rate.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Indiana Medicaid FFS effective 2026-01-01 (IHCP Professional).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Indiana | $104.39 | $98.20 | $96.75 | Coming soon | CMS MPFS |
Compare an offered CPT 90846 rate in Indiana 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. Aetna and Anthem stay Coming soon.
Questions
What is the Indiana Medicaid FFS amount for CPT 90846?
Official Indiana Medicaid FFS is $96.75 (facility $96.45) from IHCP Professional, effective 2026-01-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90846 in Indiana?
For CPT 90846 (Family psychotherapy without the patient, 50 minutes) in Indiana, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $104.39 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Indiana Medicaid FFS compare to Medicare for CPT 90846?
Indiana Medicaid FFS is $96.75; Medicare non-facility PFS is $104.39. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.in.gov/medicaid/providers/business-transactions/billing-and-remittance/ihcp-fee-schedules/.
Where is the official Indiana Medicaid FFS source for CPT 90846?
Indiana Family and Social Services Administration / IHCP: IHCP Professional Fee Schedule With Cutbacks, last updated 2026-06-09 (changes as of 2026-05-26). Source page: https://www.in.gov/medicaid/providers/business-transactions/billing-and-remittance/ihcp-fee-schedules/. File: https://www.in.gov/medicaid/providers/files/IHCP-Professional-Fee-Schedule-With-Cutbacks.xlsx. Last verified 2026-09-10.
Is this Indiana CPT 90846 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official IHCP Professional amount $96.75. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.