Official North Dakota Medicaid FFS for CPT 90846 (Family psychotherapy without the patient, 50 minutes) is $118.28 from ND Medicaid Professional, effective 2026-08-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $105.29. Source: CMS RVU26D, October 2026 release and the official North Dakota fee schedule. Not an MCO or commercial rate.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. North Dakota Medicaid FFS effective 2026-08-01 (ND Medicaid Professional).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
North Dakota** | $105.29 | $98.61 | $118.28 | Coming soon | CMS MPFS |
Compare an offered CPT 90846 rate in North Dakota 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 North Dakota Medicaid FFS amount for CPT 90846?
Official North Dakota Medicaid FFS is $118.28 from ND Medicaid Professional, effective 2026-08-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90846 in North Dakota?
For CPT 90846 (Family psychotherapy without the patient, 50 minutes) in North Dakota, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $105.29 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does North Dakota Medicaid FFS compare to Medicare for CPT 90846?
North Dakota Medicaid FFS is $118.28; Medicare non-facility PFS is $105.29. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.hhs.nd.gov/healthcare/medicaid/provider/fee-schedules.
Where is the official North Dakota Medicaid FFS source for CPT 90846?
North Dakota Department of Health and Human Services: ND Medicaid Professional Services Fee Schedule, data updated August 1, 2026. Source page: https://www.hhs.nd.gov/healthcare/medicaid/provider/fee-schedules. File: https://www.hhs.nd.gov/sites/default/files/documents/rate-2026-august-professional-fee-schedule.xlsx. Last verified 2026-09-10.
Is this North Dakota CPT 90846 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official ND Medicaid Professional amount $118.28. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.