PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of October 2026

Massachusetts Medicaid rate for CPT 90837

MassHealth pays $108.09 for CPT 90837 in its October 2026 fee-for-service schedule: the 7th-lowest of 37 state Medicaid programs, at 82% of the $132.06 median.

Non-facility rate
$108.09
Rank
31 of 37
vs. state median
82%
vs. MA Medicare
60-63%

What MassHealth publishes for 90837

7th-lowest of 37 · 82% of median

7th-lowest of 37 · 82% of median

Schedule
October 2026
In effect since
Oct 1, 2026

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. 101 CMR 317.00, Rates for Medicine Services

90837 in neighboring states

Each state's comparable non-facility rate for 90837 in its current schedule.

StateRatevs. Massachusetts
Connecticut$128.33+19%
New Hampshire$118.38+10%
Rhode Island$135.68+26%
Vermont$141.08+31%

90837 under Medicare

Medicare's 2026 non-facility payment for 90837 in Massachusetts is $171.01 to $179.88 across its 2 payment localities; MassHealth's rate is 60-63% of that. The national amount before geographic adjustment is $167.005.

See 90837 Medicare rates

See Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 90837.

Book a 15-min Medicaid walkthrough

Other MassHealth rates