Therapy & Counseling reimbursement rates by service line
Compare national commercial therapy and counseling rates for individual, family, crisis, and group psychotherapy and health behavior services across payers.
Compare national therapy and counseling rates by payer
Compare what commercial payers have published for common psychotherapy and health behavior services among therapist provider types, while keeping code, duration, setting, and geography visible.
Aetna state variation for 90837
National 90837 rate distribution
Each marker shows the national median published rate across billing entities for that payer.
National 90837 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Aug 2026 | 654,061 | $138.93 | $135.51 | |||
| Cigna | Jun–Aug 2026 | 328,216 | $102 | $108.58 | |||
| United | Jun–Aug 2026 | 526,437 | $124.84 | $126.14 | |||
| Anthem | Jun–Aug 2026 | 287,867 | $119.93 | $126.16 |
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for psychotherapy, 60 minutes (90837).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific therapy providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Therapy and counseling provider rates by payer (CPT 90837)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| DR STANLEY AND PEARL GOODMAN JFS OF BROWARD COUNTY INCNPI 1003012717 · Tax ID 590995106 | FL | 21 | $91.62 | -$47.31 | Below P25 |
| BUEHLER WELLNESS CENTER INCNPI 1013146349 · Tax ID 872088805 | IL | 5 | $118.70 | -$20.23 | Below P25 |
| MAMMOTH INSIGHT LLCNPI 1164145322 · Tax ID 843591106 | OK | 2 | $123.92 | -$15.01 | Below P25 |
| THINK BETTER THERAPYNPI 1295252757 · Tax ID 874226192 | PA | 8 | $129.83 | -$9.10 | P25 to median |
| KREMER PCNPI 1033231923 · Tax ID 473586111 | MI | 3 | $138.29 | -$0.64 | P25 to median |
| SHANE D GAGON MD PCNPI 1306388574 · Tax ID 870654617 | UT | 15 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.Which providers have the highest claim volume in the therapy & counseling market?
Provider organizations with the highest combined 2024 Medicare and Medicaid claim volume in the therapy & counseling market.
- 1MNNystrom & Associates LtdNPI 1396750188Medicare 149,235Medicaid 31,668180,903 total
- 2OHIntegrated Services For Behavioral HealthNPI 1073578431Medicare 35,990Medicaid 13,03049,020 total
- 3KYMountain Comprehensive Care Center INCNPI 1760491674Medicare 48,867Medicaid 4248,909 total
- 4TXDeer Oaks Geriatric Services P CNPI 1134169287Medicare 36,151Medicaid 4,76140,912 total
- 5ORBrightways Counseling Group LLCNPI 1689191165Medicare 40,338Medicaid 27540,613 total
- 6NJJersey Behavioral Care LLCNPI 1043853328Medicare 292Medicaid 39,60039,892 total
- 7MULTIGrow Healthcare Group PCNPI 1154994846Medicare 3,107Medicaid 18,99922,106 total
- 8VAMemorialchildguidanceclinicNPI 1699868448Medicare 18,500Medicaid 1,21119,711 total
- 9CADeep Wellness Center Child & Family IncNPI 1760865794Medicare 18,082Medicaid 018,082 total
- 10ILCenter For Therapeutic Services PsychodiagnosticsNPI 1568740132Medicare 12,034Medicaid 5,93017,964 total
- 11MIClinton County Medical Center Psychological Services PLLCNPI 1871931055Medicare 15,573Medicaid 23115,804 total
- 12ILProfessional Services in Health Psychology LtdNPI 1306078894Medicare 2Medicaid 15,75415,756 total
- 13NCThe Stepping Stones Group LLCNPI 1619298569Medicare 7,869Medicaid 6,71014,579 total
- 14MULTIDeer Oaks Mental Health Associates PCNPI 1134175763Medicare 11,934Medicaid 2,14914,083 total
- 15NJWhere Families ThriveNPI 1063971331Medicare 30Medicaid 14,01814,048 total
- 16CAHeredia Family Therapy INCNPI 1326553926Medicare 12,992Medicaid 24713,239 total
- 17ORLifeworks NwNPI 1467408013Medicare 12,981Medicaid 9313,074 total
- 18ORSalem Psychiatric Associates PCNPI 1912121526Medicare 12,547Medicaid 27912,826 total
- 19ALGarrett Counseling And ConsultingNPI 1295000503Medicare 0Medicaid 11,68611,686 total
- 20MULTISupportive Care LLCNPI 1477895043Medicare 10,730Medicaid 93911,669 total
How reimbursement changes across therapy services
Keep psychotherapy durations, family and group therapy, crisis services, add-ons, and health behavior services separated by code.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per service · 3 codes | ||||
90832Psychotherapy, 30 minutes | $69.53 | $57.98 | $65.51 | $65.18 |
90834Psychotherapy, 45 minutes | $100.76 | $82.35 | $88.39 | $92.17 |
90837Psychotherapy, 60 minutes | $135.51 | $108.58 | $126.14 | $126.16 |
$ per service · 3 codes | ||||
90846Family psychotherapy without the patient | $102.83 | $83.70 | $95.11 | $90.85 |
90847Family psychotherapy with the patient | $108.70 | $87.13 | $98.72 | $99.18 |
90849Multiple-family group psychotherapy | $42.74 | $40.33 | $33.06 | $33.71 |
$ per service · 2 codes | ||||
90839Crisis psychotherapy, first 60 minutes | $138.43 | $171.96 | $122.67 | $128.92 |
90840Crisis psychotherapy, each additional 30 minutes | $68.09 | $66.09 | $56.97 | $63.52 |
$ per service · 1 code | ||||
90853Group psychotherapy | $42.17 | $34.21 | $38.02 | $35.22 |
$ per service · 1 code | ||||
90785Interactive complexity add-on | $12.21 | $9.35 | $12.52 | $11.32 |
$ per service · 2 codes | ||||
90845Psychoanalysis | $89.27 | $150.01 | $151.69 | $87.10 |
90880Hypnotherapy | $97.54 | $81.85 | $173.94 | $97.70 |
$ per service · 1 code | ||||
96156Health behavior assessment or reassessment | $92.25 | $102.77 | $83.02 | $92.71 |
$ per service · 2 codes | ||||
96158Individual health behavior intervention, initial 30 minutes | $65.02 | $70.51 | $56.80 | $63.07 |
96159Individual health behavior intervention, each additional 15 minutes | $22.25 | $24.29 | $19.58 | $21.88 |
$ per service · 2 codes | ||||
96164Group health behavior intervention, initial 30 minutes | $9.66 | $10.77 | $8.55 | $9.52 |
96165Group health behavior intervention, each additional 15 minutes | $4.36 | $4.83 | $3.87 | $4.34 |
$ per service · 2 codes | ||||
96167Family health behavior intervention, initial 30 minutes | $68.96 | $75.93 | $60.47 | $67.23 |
96168Family health behavior intervention, each additional 15 minutes | $24.36 | $27.14 | $21.43 | $24.10 |
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How these therapy and counseling rates are calculated
Use this methodology to understand what each published amount represents and which billing details must match before comparing therapy services.
- Rate sourceEach value is a payer-published in-network negotiated or fee-schedule amount for professional therapy billing, not a claim, charge, or estimate of total allowed spending.
- Therapist cohortThe source records are limited to therapist NPI taxonomies for counselors, clinical social workers, marriage and family therapists, psychoanalysts, and psychotherapy-focused psychologists. Medical prescribers, facilities, school providers, and broad behavioral health agencies are excluded.
- Rate calculationOne modal value is selected per NPI and TIN entity before trimming two percent from each tail. National and state summaries are not weighted by visit volume and require at least 10 included entities.
- Telehealth contextThis initial view includes records without a reported modifier. Telehealth modifiers and compound modifier combinations require a separately labeled comparison.
Get the therapy & counseling reimbursement data you're looking for
Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.
- Tell us your marketShare the specialty, geography, payers, networks, and providers.
- We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
- Get your market viewSee relevant payer and provider rates organized around your question.
We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
Trusted by teams that need defensible reimbursement data
Explore therapy & counseling rates by state
Choose a state to compare payer reference averages for common services.
How to interpret therapy and counseling rates
How to interpret the selected market and payer-published rates.
Which providers are included in this therapy market?
The comparison is limited to NPI taxonomy codes for counselors, clinical social workers, marriage and family therapists, psychoanalysts, and psychotherapy-focused psychologists. It excludes psychiatrists, psychiatric nurse practitioners, facilities, school providers, and broad behavioral health agencies.
What does the national benchmark compare?
The headline uses Psychotherapy, 60 minutes (90837). Other durations, family and group therapy, crisis services, add-ons, and health behavior services are compared separately rather than combined.
Are these the amounts a therapist was paid on a claim?
No. These are payer-published in-network negotiated or fee-schedule amounts, not claim payments or a therapist's verified contract. Use them as market context and compare them with your own fee schedule, contract, and remits.
Are these rates specifically in-person rates?
This initial view uses professional billing records without a reported modifier. The absence of a telehealth modifier does not conclusively establish the care setting, so the results are described as an unmodified baseline.
What should be aligned before comparing therapy rates?
Match the exact code, reported duration, modifier, care setting, payer product, network, geography, and contract period.