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Psychiatry reimbursement rates by service line

Compare national psychiatry reimbursement benchmarks calculated from price transparency data. Reference benchmarks cover 90792, 90834 and 90867 across Aetna, Anthem, Cigna and United. Reporting periods: Jun–Jul 2026.

4,211,212 provider-rate observations4 payers in source data50 states represented20 billing codes
Rate data shownJun–Jul 2026About these rates
Psychiatry
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Compare national psychiatry rates by payer

Compare payer benchmarks across common psychiatry services while preserving duration, add-on status, modifier, and care-setting context.

Aetna state variation for 90834

LowerHigher
Alaska: $145.39 Aetna reference averageAKAlabama: $91.94 Aetna reference averageALArkansas: $91.52 Aetna reference averageARArizona: $87.34 Aetna reference averageAZCalifornia: $117.29 Aetna reference averageCAColorado: $98.74 Aetna reference averageCOConnecticut: $123.53 Aetna reference averageCTDistrict of Columbia: No preview availableDCDelaware: $111.50 Aetna reference averageDEFlorida: $91.09 Aetna reference averageFLGeorgia: $108.35 Aetna reference averageGAHawaii: $112.56 Aetna reference averageHIIowa: $111.16 Aetna reference averageIAIdaho: $92.62 Aetna reference averageIDIllinois: $104.12 Aetna reference averageILIndiana: $93.10 Aetna reference averageINKansas: $92.34 Aetna reference averageKSKentucky: $94.48 Aetna reference averageKYLouisiana: $95.36 Aetna reference averageLAMassachusetts: $129.24 Aetna reference averageMAMaryland: $100.69 Aetna reference averageMDMaine: $110.50 Aetna reference averageMEMichigan: $100.67 Aetna reference averageMIMinnesota: $114.18 Aetna reference averageMNMissouri: $98.55 Aetna reference averageMOMississippi: $99.60 Aetna reference averageMSMontana: $128.46 Aetna reference averageMTNorth Carolina: $117.79 Aetna reference averageNCNorth Dakota: $119.57 Aetna reference averageNDNebraska: $131.64 Aetna reference averageNENew Hampshire: $94.44 Aetna reference averageNHNew Jersey: $111.90 Aetna reference averageNJNew Mexico: $111.38 Aetna reference averageNMNevada: $104.89 Aetna reference averageNVNew York: $126.62 Aetna reference averageNYOhio: $114.44 Aetna reference averageOHOklahoma: $109.18 Aetna reference averageOKOregon: $160.96 Aetna reference averageORPennsylvania: $115.26 Aetna reference averagePARhode Island: $110.40 Aetna reference averageRISouth Carolina: $90.97 Aetna reference averageSCSouth Dakota: $101.48 Aetna reference averageSDTennessee: $102.98 Aetna reference averageTNTexas: $107.62 Aetna reference averageTXUtah: $95.81 Aetna reference averageUTVirginia: $101.41 Aetna reference averageVAVermont: $28.25 Aetna reference averageVTWashington: $142.68 Aetna reference averageWAWisconsin: $107.10 Aetna reference averageWIWest Virginia: $94.49 Aetna reference averageWVWyoming: $91.17 Aetna reference averageWY
National
Select a state to reveal payer percentiles and provider examples.

National 90834 rate distribution

Payer
Published rate$ per service
$90$100$110$120$130
Median
AetnaJun–Jul 2026
AetnaProviders53,805Average$108.92
$100.10median
CignaJun–Jul 2026
CignaProviders54,144Average$131.40
$110median
UnitedJun–Jul 2026
UnitedProviders56,929Average$133.71
$104.97median
AnthemJun–Jul 2026
AnthemProviders45,950Average$148.46
$116.44median

Each marker shows the national median published rate across billing entities for that payer.

National 90834 rates by payer

$ per service
PayerRate periodProvider entitiesP25MedianP75P90Average
AetnaJun–Jul 202653,805$100.10$108.92
CignaJun–Jul 202654,144$110$131.40
UnitedJun–Jul 202656,929$104.97$133.71
AnthemJun–Jul 202645,950$116.44$148.46
About these rates
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How do specific psychiatry providers compare?

Compare named provider rates with the selected payer's median and percentile distribution.

National: Psychiatry provider rates by payer (CPT 90834)

6 provider examples
Provider entityStateSize$ per serviceGap to medianPosition in Aetna range
PSYCH ASSOCIATES OF MARYLAND LLCNPI 1003857038 · Tax ID 593795443MD291$73.39-$26.71
Below P25
PROFESSIONAL COUNSELING CENTERPCNPI 1285797878 · Tax ID 382679121TN43$81-$19.10
Below P25
MILLMARK HEALTH INCNPI 1013557552 · Tax ID 844150485PA5$85.62-$14.48
Below P25
ODYSSEY HOUSE INC-UTAHNPI 1033143706 · Tax ID 870292487UT261$92.83-$7.27
P25 to median
ALMA FAMILY SERVICESNPI 1003948787 · Tax ID 952959331CA12
Median to P75
THE CLEVELAND CLINIC FOUNDATIONNPI 1003906223 · Tax ID 340714585OH15,037
Above P75
Need provider rates for a specific state?

Which providers have the highest claim volume in the psychiatry market?

Provider organizations with the highest combined 2024 Medicare and Medicaid claim volume in the psychiatry market.

#StateProvider
MedicareMedicaidRanked by combined total
  1. 1CA
    Progeny Psychiatric Clinic a Medical CorporationNPI 1548735202
    Medicare 12,390Medicaid 69,86482,254 total
  2. 2KY
    Astra Behavioral Health LLCNPI 1922427517
    Medicare 40,154Medicaid 1,23641,390 total
  3. 3NJ
    Middlesex Psychiatry & TMS PCNPI 1053971572
    Medicare 734Medicaid 39,04339,777 total
  4. 4MULTI
    LifeStance HealthNPI 1811915713
    Medicare 21,554Medicaid 2,59224,146 total
  5. 5OR
    Polk County Public HealthNPI 1427081470
    Medicare 24,134Medicaid 024,134 total
  6. 6MI
    Brightstar Counseling PLLCNPI 1992819841
    Medicare 20,313Medicaid 21020,523 total
  7. 7MT
    Frontier Psychiatry LLCNPI 1508493156
    Medicare 0Medicaid 18,22718,227 total
  8. 8OH
    Rajendra P Koirala MD LLCNPI 1760977177
    Medicare 12,916Medicaid 2,14515,061 total
  9. 9NC
    Carter Clinic PANPI 1912959834
    Medicare 12,964Medicaid 40113,365 total
  10. 10NJ
    CMC Psychiatric Associates PCNPI 1982646634
    Medicare 2,682Medicaid 10,31112,993 total
  11. 11VA
    Peter Breslin MD LLCNPI 1073070298
    Medicare 9,298Medicaid 3,51612,814 total
  12. 12OH
    Psychiatric Services and TMS Center LLCNPI 1891431821
    Medicare 10,230Medicaid 1,60511,835 total
  13. 13CT
    Connecticut Addiction Medicine LLCNPI 1710312368
    Medicare 10Medicaid 11,62011,630 total
  14. 14NY
    Priyadarshan Bajpayi MD PCNPI 1629534474
    Medicare 11,544Medicaid 011,544 total
  15. 15VA
    Churchland Psychiatric Associates PCNPI 1740359223
    Medicare 11,294Medicaid 24111,535 total
  16. 16WV
    Worthington Mental Health LLCNPI 1285153916
    Medicare 10,080Medicaid 91010,990 total
  17. 17WI
    American Behavioral Clinics ScNPI 1144313859
    Medicare 9,399Medicaid 1,13810,537 total
  18. 18AL
    Dothan Behavioral Medicine Clinic PCNPI 1336277540
    Medicare 0Medicaid 10,15410,154 total
  19. 19NJ
    JLS Medical PCNPI 1164007043
    Medicare 234Medicaid 8,9969,230 total
  20. 20VA
    Rock Landing Psychological Group PLCNPI 1528159183
    Medicare 8,390Medicaid 1358,525 total

How reimbursement changes across psychiatry services

Keep diagnostic evaluations, standalone and add-on psychotherapy, group care, neuromodulation, and office visits separated by code.

GeographyNational
Display
Service line / billing codeAetnaCignaUnitedAnthem
$ per service · 2 codes
90791Psychiatric diagnostic evaluation
$167.93$208.59$218.66$237.85
90792Psychiatric diagnostic evaluation with medical services
$184.24$225$239.20$251.42
$ per service · 3 codes
90832Psychotherapy, 30 minutes
$78.57$92.41$98.92$108.21
90834Psychotherapy, 45 minutes
$108.92$131.40$133.71$148.46
90837Psychotherapy, 60 minutes
$152.25$191.32$200.17$211.54
$ per add-on service · 3 codes
90833Psychotherapy, 30 minutes, with E/M
$80.89$74.10$93.78$89.85
90836Psychotherapy, 45 minutes, with E/M
$109.87$102.74$120.75$122.54
90838Psychotherapy, 60 minutes, with E/M
$135.64$149.26$161.73$174.80
$ per service · 1 code
90853Group psychotherapy
$42.49$56.01$48.05$50.45
$ per service · 4 codes
90867TMS treatment planning
$271.97$347.93$345.63$472.13
90868TMS treatment delivery
$192.18$241.44$270.44$249.28
90869Subsequent TMS motor-threshold determination
$275.58$342.32$390.72$516.67
90870Electroconvulsive therapy
$180.14$212.89$221.17$236.88
$ per visit · 7 codes
99203New patient office visit, low level
$105.27$134.90$140.12$156.20
99204New patient office visit, moderate level
$166.54$202.87$212.07$237.13
99205New patient office visit, high level
$210.19$256.26$275.27$304.16
99212Established patient office visit, straightforward level
$45.66$57.87$71.50$68.10
99213Established patient office visit, low level
$78.04$91.56$108.20$112.02
99214Established patient office visit, moderate level
$113.35$136.84$152.64$158.46
99215Established patient office visit, high level
$158.35$189$212.30$220.01
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How to read these psychiatry rates

Benchmarks calculated by PayerPrice from health plan price transparency files. CMS price transparency requirements.

  • Published rates, not paymentsThese figures summarize negotiated rates reported by health plans. They are not claim payments, patient prices or a provider's verified contract.
  • Average vs. medianThe average combines eligible billing-entity rates; the median is the middle rate. A large gap between them can signal that high or low rates are pulling the average.
  • What a provider row meansA billing entity may be a clinician, practice, facility or health system. A named row does not always represent one individual provider.
  • Compare like for likeMatch the code, billing component, setting, payment unit, network and reporting period. Facility, drug and other service payments may be separate.
Calculation details and specialty-specific notes

Use this methodology to understand what each published rate represents and which billing details must match before comparing psychiatry services.

Rate source
Each value is a payer-published negotiated or fee-schedule amount for professional psychiatry billing, not a claim, charge, or estimate of total allowed spending.
Rate calculation
One 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. The calculation targets the lowest and highest 2% of entity rates for removal, rounded down to whole entities. Tied boundary values stay together, so fewer rates may be removed. A payer, code and geography cohort is published only when at least 10 billing entities remain after trimming. A missing benchmark does not mean the rate is zero.
Provider entity
Each NPI and TIN combination contributes one representative rate: its most frequent normalized value. When multiple values are equally frequent, those values are averaged.
Comparable rates
This initial view includes records without a reported modifier. Telehealth modifiers and compound modifier combinations require a separately labeled comparison. Diagnostic evaluations, standalone psychotherapy, psychotherapy add-ons, neuromodulation, and office visits remain distinct service lines. Benchmarks keep the payer, service code, geography, reporting period and billing unit separate. Different services or payment units are not blended into one rate.

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Acadia
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Psychiatric Alternatives & Wellness Center
EDPMA
Healthcare Leaders Association of New Jersey

Explore psychiatry rates by state

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View National Overview
Available stateNo public state averages

How to interpret psychiatry rates

How to interpret the selected market and payer-published rates.

Which psychiatry services are included?

The report includes psychiatric diagnostic evaluations, standalone and add-on psychotherapy, group psychotherapy, TMS and electroconvulsive therapy services, and evaluation and management visits.

Are psychotherapy add-on codes combined with standalone psychotherapy?

No. Codes 90833, 90836, and 90838 are add-on services reported with evaluation and management and remain separate from standalone psychotherapy codes.

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.

How are named psychiatry providers selected?

Provider examples are sampled from different points in each payer's published rate range. An entity may represent an individual clinician, group, health system, or another billing organization. The national overview includes public provider samples; state provider-level comparisons require a free state preview.

What should be aligned before comparing psychiatry rates?

Match the exact code, service duration, standalone or add-on status, modifier, care setting, payer product, network, and contract period.