Reported rates, October 2024
Optum paid a solo therapist $110.30 for a 90837. It paid Alma about $151 for the same session. The therapist on Alma received $120.
Those figures come from therapists comparing notes in public, because the numbers are opaque unless clinicians talk to each other. This site is where the numbers get collected: what Headway, Alma, Grow, Rula, SonderMind, and the payers themselves actually pay, by state, license, and CPT code — reported anonymously by the clinicians receiving the payments.
What payers pay, and what clinicians receive
A platform's revenue is the difference between what the payer pays it and what it pays the clinician. Three reported examples:
Who pays best for your session?
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.
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.