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

North Carolina Medicaid rate for CPT 90837

NC Medicaid pays $96.44 for CPT 90837 in its January 2026 fee-for-service schedule: the 5th-lowest of 37 state Medicaid programs, at 73% of the $132.06 median.

Non-facility rate
$96.44
Rank
33 of 37
vs. state median
73%
vs. NC Medicare
59%

What NC Medicaid publishes for 90837

5th-lowest of 37 · 73% of median

5th-lowest of 37 · 73% of median

Schedule
January 2026
In effect since
Oct 1, 2025

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. NC Medicaid Physician Services Fee Schedules

90837 in neighboring states

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

StateRatevs. North Carolina
Georgia$111.16+15%
South Carolina$103.83+8%
Virginia$170.73+77%

90837 under Medicare

Medicare's 2026 non-facility payment for 90837 in North Carolina is $164.08; NC Medicaid's rate is 59% of that. The national amount before geographic adjustment is $167.005.

See 90837 Medicare rates

See North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 90837.

Book a 15-min Medicaid walkthrough

Other NC Medicaid rates