Reported therapist reimbursement rates
852 reported therapist reimbursement rates, by platform, payer, state, and CPT code.
What Headway, Alma, Grow, Rula, SonderMind, and the payers themselves pay, by state, license, and CPT code, reported anonymously by the clinicians receiving the payments. Filter the table to your situation; every view is a link you can share.
A selection of reports is available below. Read the full table. Search, filters, and sorting require JavaScript and the rate data to load. On a phone, scroll the table sideways to read the remaining columns.
25 of 852 reports shown. Browse the full table for every report.
| Note / source | |||||||
|---|---|---|---|---|---|---|---|
| Direct contracts | BCBS | NE | PhD/PsyD | 90837 (60 min) | $284.19 | 2025-07 | Increased from 277 last July submitted |
| Direct contracts | BCBS | OR | LCSW | 90791 (intake) | $242.47 | 2026-07 | submitted |
| Direct contracts | BCBS | IN | PhD/PsyD | 90791 (intake) | $227 | 2025-05 | submitted |
| Direct contracts | Quartz | IL | LCSW | 90791 (intake) | $222.76 | 2025-01 | submitted |
| Direct contracts | Medicaid | NM | — | 90837 (60 min) | $220 | 2025-09 | LMSW, group practice source |
| Direct contracts | BCBS | AR | PhD/PsyD | 90791 (intake) | $211.18 | 2026-10 | submitted |
| Direct contracts | BCBS | WY | LCSW | 90837 (60 min) | $210 | 2026-05 | submitted |
| Direct contracts | Carelon | CA | LMFT | 90837 (60 min) | $210 | 2026-03 | Took significant negotiation and advocacy submitted |
| Direct contracts | Dean | IL | LCSW | 90791 (intake) | $201.52 | 2026-04 | submitted |
| Direct contracts | Medicaid | OR | LPC/LMHC | 90837 (60 min) | $201.28 | 2026-08 | Used to be 184 until billed rate raised to 220 submitted |
| Headway | Medicaid | OR | LCSW | 90837 (60 min) | $200 | 2026-08 | submitted |
| Direct contracts | Cigna | PA | LCSW | 90837 (60 min) | $200 | 2026-10 | submitted |
| Direct contracts | BCBS | AR | PhD/PsyD | 90837 (60 min) | $199.43 | 2026-10 | submitted |
| Headway | Aetna | GA | PhD/PsyD | 90837 (60 min) | $196.24 | 2024-08 | submitted |
| Direct contracts | Medicaid | CA | LCSW | 90837 (60 min) | $195 | 2025-05 | submitted |
| Direct contracts | Dean | IL | LCSW | 90837 (60 min) | $194.14 | 2026-04 | submitted |
| Direct contracts | BCBS | IL | PhD/PsyD | 90837 (60 min) | $191 | 2025-05 | submitted |
| Direct contracts | Optum/UHC | OR | LPC/LMHC | 90837 (60 min) | $190 | 2026-03 | submitted |
| Direct contracts | BCBS | MS | LPC/LMHC | 90837 (60 min) | $189 | 2018-05 | submitted |
| Direct contracts | BCBS | IA | LPC/LMHC | 90791 (intake) | $187.70 | 2026-07 | submitted |
| Direct contracts | BCBS | ID | LPC/LMHC | 90837 (60 min) | $187.40 | 2025-08 | submitted |
| Direct contracts | BCBS | IL | LCSW | 90791 (intake) | $187.08 | 2025-06 | submitted |
| Headway | Aetna | NY | PhD/PsyD | 90837 (60 min) | $185 | 2026-01 | NYC, virtual only source |
| Headway | Aetna | WA | PhD/PsyD | 90837 (60 min) | $185 | 2024-10 | submitted |
| Headway | Aetna | MA | PhD/PsyD | 90837 (60 min) | $185 | 2026-06 | submitted |
Browse by payer, state, or code
By payer
- BCBS 185
- Aetna 167
- Optum / UHC 122
- Cigna 100
- EAP 36
- Medicaid 36
- Kaiser 21
- Carelon 13
- Medicare 6
- AmeriHealth 5
- Ambetter 5
- Independence Blue Cross 5
By state
- California 115
- Georgia 88
- Maryland 45
- Washington 45
- New York 39
- Oregon 39
- Texas 39
- New Jersey 37
- Massachusetts 32
- Colorado 29
- Pennsylvania 27
- Illinois 24
- Wisconsin 22
- Arizona 21
- Florida 21
- Virginia 20
- North Carolina 18
- Connecticut 17
- Ohio 13
- Iowa 10
- Tennessee 10
- Oklahoma 9
- Indiana 8
- Louisiana 8
- New Hampshire 8
- Rhode Island 8
- Arkansas 7
- District of Columbia 6
- Minnesota 6
- Missouri 6
- Kansas 5
- Fewer than five reports: Kentucky (4), Michigan (4), Mississippi (4), Montana (4), Hawaii (3), Idaho (3), Maine (3), Nebraska (3), Nevada (3), New Mexico (3), South Carolina (3), Vermont (3), Alabama (2), Delaware (1), Utah (1), West Virginia (1), Wyoming (1), Alaska (0), North Dakota (0), South Dakota (0)
By CPT code
By payer and code
Also platform against direct contract · what the payer allowed against what the therapist was paid · how long each payer took to pay · methodology
Example, October 2024: Optum paid a solo therapist $110.30 for a 90837 and paid Alma about $151 for the same session. The therapist on Alma received $120. Every row above is a figure like that one, with its source.
The same payer, the same code, by route
Median reported 90837 by payer and by the route the payment took, all states pooled, from every report on the site. Report counts in parentheses; red marks a route paying below that payer's direct-contract median.
Who pays best for your session?
The comparison requires JavaScript and the rate data to load. The published route comparison is available above, and you can read the full table.
Medians of community reports. A single report is a datapoint, and singleton medians are exactly that. Report counts are shown so you can weigh them.
Three things live here
- The rate tableEvery reported rate, filterable by platform, payer, state, license, and CPT. Filtered views are shareable links.
- CompaniesOwnership, funding, and a dated, sourced news timeline for 13 companies.
- Going directHow clinicians move from a platform to their own payer contracts: about 25–30 hours over roughly 3 months, drawn from documented accounts.
Browse BCBS · Aetna · Optum / UHC · Cigna · Georgia · California · Oregon · New Jersey · 90837 · 90834 · 90791 · all pages
Where the data comes from
Rates arrive two ways: anonymous submissions from clinicians, and figures collected from public discussions and press, each linked to its source. Between 2012 and 2023, private equity acquired 6.2% of US mental-health facilities (JAMA Psychiatry, 2024), and most large billing platforms are venture-funded companies whose terms change over time — the company pages track those changes as a dated, sourced news timeline. Rate data is thin in public; every submission makes the table more useful.