Medicare rates
What Medicare pays for therapy in California in 2026
Medicare's 2026 rate for each psychotherapy and psychiatry code in each of the 29 Medicare localities that pay in California, for psychologists and psychiatrists, psychiatric nurse practitioners and PAs, and LCSWs, LMFTs and LPCs. Computed from CMS's own fee schedule files.
- CMS files read · checked 4 d ago
$172.69 to $198.3090837 in California
$129.52 to $148.73LCSW, LMFT, LPC (75%)
+3.4% to +18.7%vs national $167.00
+11.0% to +13.3%2027 proposed
In California, Medicare's 2026 rate for a 60-minute psychotherapy session (90837) is $172.69 to $198.30 for a psychologist or psychiatrist, $146.79 to $168.56 for a psychiatric nurse practitioner or PA, and $129.52 to $148.73 for an LCSW, LMFT or LPC. A 45-minute session (90834) is $117.70 to $135.25. Telehealth to a patient at home pays the same office rate, and the patient pays 20% of it after the Part B deductible.
By locality
Medicare therapy rates in California, 2026
California has 29 Medicare payment localities: the rate follows where the service is delivered. Office and telehealth-to-home rate; 100% is a psychologist or psychiatrist, 75% an LCSW, LMFT or LPC.
| Locality | 90837 | 90834 | 90832 | 90791 | ||||
|---|---|---|---|---|---|---|---|---|
| 100% | 75% | 100% | 75% | 100% | 75% | 100% | 75% | |
| BakersfieldKern | $172.99 | $129.74 | $117.92 | $88.44 | $88.93 | $66.70 | $179.79 | $134.84 |
| ChicoButte | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| El CentroImperial | $172.69 | $129.52 | $117.71 | $88.28 | $88.78 | $66.59 | $179.49 | $134.62 |
| FresnoFresno | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| Hanford-CorcoranKings | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County)Los Angeles/Orange County | $179.29 | $134.47 | $122.25 | $91.69 | $92.17 | $69.13 | $186.51 | $139.88 |
| MaderaMadera | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| MercedMerced | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| ModestoStanislaus | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| NapaNapa | $187.38 | $140.54 | $127.77 | $95.83 | $96.34 | $72.26 | $195.23 | $146.42 |
| Oxnard-Thousand Oaks-VenturaVentura | $177.58 | $133.19 | $121.08 | $90.81 | $91.30 | $68.48 | $184.78 | $138.59 |
| ReddingShasta | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| Riverside-San Bernardino-OntarioSan Bernardino, Riverside | $173.03 | $129.77 | $118.00 | $88.50 | $88.95 | $66.71 | $179.83 | $134.87 |
| Sacramento-Roseville-FolsomSacramento, Placer, Yolo, El Dorado | $177.77 | $133.33 | $121.18 | $90.89 | $91.39 | $68.54 | $184.90 | $138.68 |
| SalinasMonterey | $176.98 | $132.74 | $120.65 | $90.49 | $90.99 | $68.24 | $184.08 | $138.06 |
| San Diego-Chula Vista-CarlsbadSan Diego | $178.34 | $133.76 | $121.59 | $91.19 | $91.69 | $68.77 | $185.60 | $139.20 |
| San Francisco-Oakland-Berkeley (Marin County)Marin | $195.07 | $146.30 | $133.03 | $99.77 | $100.31 | $75.23 | $203.39 | $152.54 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)San Francisco/Alameda/Contra Costa/San Mateo | $195.05 | $146.29 | $133.00 | $99.75 | $100.29 | $75.22 | $203.36 | $152.52 |
| San Jose-Sunnyvale-Santa Clara (San Benito County)San Benito | $198.30 | $148.73 | $135.25 | $101.44 | $101.97 | $76.48 | $206.78 | $155.09 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara County)Santa Clara | $198.21 | $148.66 | $135.15 | $101.36 | $101.92 | $76.44 | $206.69 | $155.02 |
| San Luis Obispo-Paso RoblesSan Luis Obispo | $174.41 | $130.81 | $118.89 | $89.17 | $89.67 | $67.25 | $181.40 | $136.05 |
| Santa Cruz-WatsonvilleSanta Cruz | $177.96 | $133.47 | $121.34 | $91.01 | $91.50 | $68.63 | $185.29 | $138.97 |
| Santa Maria-Santa BarbaraSanta Barbara | $176.88 | $132.66 | $120.58 | $90.44 | $90.94 | $68.21 | $184.01 | $138.01 |
| Santa Rosa-PetalumaSonoma | $179.62 | $134.72 | $122.47 | $91.85 | $92.35 | $69.26 | $187.02 | $140.27 |
| StocktonSan Joaquin | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| VallejoSolano | $187.34 | $140.51 | $127.74 | $95.81 | $96.33 | $72.25 | $195.20 | $146.40 |
| VisaliaTulare | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| Yuba CitySutter, Yuba | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
| Rest of CaliforniaAll Other Counties | $172.69 | $129.52 | $117.70 | $88.28 | $88.77 | $66.58 | $179.49 | $134.62 |
Every code
Every code in Bakersfield
Counties: Kern.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.93 | $75.59 | $66.70 |
| 90834 | Psychotherapy, 45 minutes | $117.92 | $100.23 | $88.44 |
| 90837 | Psychotherapy, 60 minutes | $172.99 | $147.04 | $129.74 |
| 90847 | Family or couples psychotherapy, with the patient | $112.39 | $95.53 | $84.29 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.51 | $92.23 | $81.38 |
| 90853 | Group psychotherapy (per patient) | $31.43 | $26.72 | $23.57 |
| 90839 | Crisis psychotherapy, first 60 minutes | $166.02 | $141.12 | $124.52 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.79 | $152.82 | $134.84 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $208.01 | $176.81 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.33 | $4.53 | $4.00 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.79 | $156.22 | – |
| 99213 | Established-patient medical visit, low complexity | $99.52 | $84.59 | – |
| 99214 | Established-patient medical visit, moderate complexity | $141.41 | $120.20 | – |
| 99215 | Established-patient medical visit, high complexity | $200.24 | $170.20 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.84 | $67.86 | $59.88 |
| 90785 | Interactive complexity (add-on) | $15.26 | $12.97 | $11.45 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.79 | $71.22 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $106.23 | $90.30 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $140.42 | $119.36 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.86 | $15.18 | – |
Every code
Every code in Chico
Counties: Butte.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in El Centro
Counties: Imperial.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.78 | $75.46 | $66.59 |
| 90834 | Psychotherapy, 45 minutes | $117.71 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.26 | $92.02 | $81.20 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.35 | $176.25 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.31 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.08 | $155.62 | – |
| 99213 | Established-patient medical visit, low complexity | $99.23 | $84.35 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.96 | $119.82 | – |
| 99215 | Established-patient medical visit, high complexity | $199.58 | $169.64 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.51 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.91 | $90.02 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.95 | $118.96 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Fresno
Counties: Fresno.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Hanford-Corcoran
Counties: Kings.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County)
Counties: Los Angeles/Orange County.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $92.17 | $78.34 | $69.13 |
| 90834 | Psychotherapy, 45 minutes | $122.25 | $103.91 | $91.69 |
| 90837 | Psychotherapy, 60 minutes | $179.29 | $152.40 | $134.47 |
| 90847 | Family or couples psychotherapy, with the patient | $115.69 | $98.34 | $86.77 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $111.74 | $94.98 | $83.81 |
| 90853 | Group psychotherapy (per patient) | $32.61 | $27.72 | $24.46 |
| 90839 | Crisis psychotherapy, first 60 minutes | $172.16 | $146.34 | $129.12 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $186.51 | $158.53 | $139.88 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $216.38 | $183.92 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.75 | $4.89 | $4.31 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $193.32 | $164.32 | – |
| 99213 | Established-patient medical visit, low complexity | $104.89 | $89.16 | – |
| 99214 | Established-patient medical visit, moderate complexity | $148.89 | $126.56 | – |
| 99215 | Established-patient medical visit, high complexity | $210.68 | $179.08 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.82 | $70.40 | $62.12 |
| 90785 | Interactive complexity (add-on) | $15.82 | $13.45 | $11.87 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $87.09 | $74.03 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $110.42 | $93.86 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $145.96 | $124.07 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.64 | $15.84 | – |
Every code
Every code in Madera
Counties: Madera.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Merced
Counties: Merced.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Modesto
Counties: Stanislaus.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Napa
Counties: Napa.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $96.34 | $81.89 | $72.26 |
| 90834 | Psychotherapy, 45 minutes | $127.77 | $108.60 | $95.83 |
| 90837 | Psychotherapy, 60 minutes | $187.38 | $159.27 | $140.54 |
| 90847 | Family or couples psychotherapy, with the patient | $119.49 | $101.57 | $89.62 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $115.40 | $98.09 | $86.55 |
| 90853 | Group psychotherapy (per patient) | $34.08 | $28.97 | $25.56 |
| 90839 | Crisis psychotherapy, first 60 minutes | $180.00 | $153.00 | $135.00 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $195.23 | $165.95 | $146.42 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $226.30 | $192.36 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.33 | $5.38 | $4.75 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $205.12 | $174.35 | – |
| 99213 | Established-patient medical visit, low complexity | $111.96 | $95.17 | – |
| 99214 | Established-patient medical visit, moderate complexity | $158.59 | $134.80 | – |
| 99215 | Established-patient medical visit, high complexity | $224.04 | $190.43 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $86.59 | $73.60 | $64.94 |
| 90785 | Interactive complexity (add-on) | $16.56 | $14.08 | $12.42 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $90.96 | $77.32 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $115.38 | $98.07 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $152.45 | $129.58 | – |
| G2211 | Ongoing-care add-on to a medical visit | $19.54 | $16.61 | – |
Every code
Every code in Oxnard-Thousand Oaks-Ventura
Counties: Ventura.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $91.30 | $77.61 | $68.48 |
| 90834 | Psychotherapy, 45 minutes | $121.08 | $102.92 | $90.81 |
| 90837 | Psychotherapy, 60 minutes | $177.58 | $150.94 | $133.19 |
| 90847 | Family or couples psychotherapy, with the patient | $114.41 | $97.25 | $85.81 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.50 | $93.93 | $82.88 |
| 90853 | Group psychotherapy (per patient) | $32.29 | $27.45 | $24.22 |
| 90839 | Crisis psychotherapy, first 60 minutes | $170.53 | $144.95 | $127.90 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $184.78 | $157.06 | $138.59 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $214.28 | $182.14 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.74 | $4.88 | $4.31 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $191.78 | $163.01 | – |
| 99213 | Established-patient medical visit, low complexity | $104.15 | $88.53 | – |
| 99214 | Established-patient medical visit, moderate complexity | $147.80 | $125.63 | – |
| 99215 | Established-patient medical visit, high complexity | $209.08 | $177.72 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.03 | $69.73 | $61.52 |
| 90785 | Interactive complexity (add-on) | $15.67 | $13.32 | $11.75 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $86.23 | $73.30 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $109.34 | $92.94 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $144.52 | $122.84 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.46 | $15.69 | – |
Every code
Every code in Redding
Counties: Shasta.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Riverside-San Bernardino-Ontario
Counties: San Bernardino, Riverside.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.95 | $75.61 | $66.71 |
| 90834 | Psychotherapy, 45 minutes | $118.00 | $100.30 | $88.50 |
| 90837 | Psychotherapy, 60 minutes | $173.03 | $147.08 | $129.77 |
| 90847 | Family or couples psychotherapy, with the patient | $112.46 | $95.59 | $84.35 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.66 | $92.36 | $81.50 |
| 90853 | Group psychotherapy (per patient) | $31.49 | $26.77 | $23.62 |
| 90839 | Crisis psychotherapy, first 60 minutes | $166.15 | $141.23 | $124.61 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.83 | $152.86 | $134.87 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $209.26 | $177.87 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.41 | $4.60 | $4.06 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $185.66 | $157.81 | – |
| 99213 | Established-patient medical visit, low complexity | $100.21 | $85.18 | – |
| 99214 | Established-patient medical visit, moderate complexity | $142.49 | $121.12 | – |
| 99215 | Established-patient medical visit, high complexity | $201.86 | $171.58 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.95 | $67.96 | $59.96 |
| 90785 | Interactive complexity (add-on) | $15.25 | $12.96 | $11.44 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $84.30 | $71.66 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $106.81 | $90.79 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $141.30 | $120.11 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.01 | $15.31 | – |
Every code
Every code in Sacramento-Roseville-Folsom
Counties: Sacramento, Placer, Yolo, El Dorado.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $91.39 | $77.68 | $68.54 |
| 90834 | Psychotherapy, 45 minutes | $121.18 | $103.00 | $90.89 |
| 90837 | Psychotherapy, 60 minutes | $177.77 | $151.10 | $133.33 |
| 90847 | Family or couples psychotherapy, with the patient | $114.86 | $97.63 | $86.15 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.89 | $94.26 | $83.17 |
| 90853 | Group psychotherapy (per patient) | $32.30 | $27.46 | $24.23 |
| 90839 | Crisis psychotherapy, first 60 minutes | $170.64 | $145.04 | $127.98 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $184.90 | $157.17 | $138.68 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $213.81 | $181.74 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.62 | $4.78 | $4.22 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $190.21 | $161.68 | – |
| 99213 | Established-patient medical visit, low complexity | $103.31 | $87.81 | – |
| 99214 | Established-patient medical visit, moderate complexity | $146.64 | $124.64 | – |
| 99215 | Established-patient medical visit, high complexity | $207.47 | $176.35 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.06 | $69.75 | $61.55 |
| 90785 | Interactive complexity (add-on) | $15.69 | $13.34 | $11.77 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $86.06 | $73.15 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $109.15 | $92.78 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $144.23 | $122.60 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.38 | $15.62 | – |
Every code
Every code in Salinas
Counties: Monterey.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $90.99 | $77.34 | $68.24 |
| 90834 | Psychotherapy, 45 minutes | $120.65 | $102.55 | $90.49 |
| 90837 | Psychotherapy, 60 minutes | $176.98 | $150.43 | $132.74 |
| 90847 | Family or couples psychotherapy, with the patient | $114.33 | $97.18 | $85.75 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.38 | $93.82 | $82.79 |
| 90853 | Group psychotherapy (per patient) | $32.16 | $27.34 | $24.12 |
| 90839 | Crisis psychotherapy, first 60 minutes | $169.89 | $144.41 | $127.42 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $184.08 | $156.47 | $138.06 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $212.88 | $180.95 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.60 | $4.76 | $4.20 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $189.45 | $161.03 | – |
| 99213 | Established-patient medical visit, low complexity | $102.90 | $87.47 | – |
| 99214 | Established-patient medical visit, moderate complexity | $146.05 | $124.14 | – |
| 99215 | Established-patient medical visit, high complexity | $206.64 | $175.64 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $81.70 | $69.45 | $61.28 |
| 90785 | Interactive complexity (add-on) | $15.62 | $13.28 | $11.72 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $85.69 | $72.84 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $108.68 | $92.38 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $143.61 | $122.07 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.30 | $15.56 | – |
Every code
Every code in San Diego-Chula Vista-Carlsbad
Counties: San Diego.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $91.69 | $77.94 | $68.77 |
| 90834 | Psychotherapy, 45 minutes | $121.59 | $103.35 | $91.19 |
| 90837 | Psychotherapy, 60 minutes | $178.34 | $151.59 | $133.76 |
| 90847 | Family or couples psychotherapy, with the patient | $114.73 | $97.52 | $86.05 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.79 | $94.17 | $83.09 |
| 90853 | Group psychotherapy (per patient) | $32.42 | $27.56 | $24.32 |
| 90839 | Crisis psychotherapy, first 60 minutes | $171.24 | $145.55 | $128.43 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $185.60 | $157.76 | $139.20 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $214.90 | $182.67 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.77 | $4.90 | $4.33 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $192.46 | $163.59 | – |
| 99213 | Established-patient medical visit, low complexity | $104.68 | $88.98 | – |
| 99214 | Established-patient medical visit, moderate complexity | $148.48 | $126.21 | – |
| 99215 | Established-patient medical visit, high complexity | $209.99 | $178.49 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.36 | $70.01 | $61.77 |
| 90785 | Interactive complexity (add-on) | $15.75 | $13.39 | $11.81 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $86.46 | $73.49 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $109.66 | $93.21 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $144.91 | $123.17 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.51 | $15.73 | – |
Every code
Every code in San Francisco-Oakland-Berkeley (Marin County)
Counties: Marin.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $100.31 | $85.26 | $75.23 |
| 90834 | Psychotherapy, 45 minutes | $133.03 | $113.08 | $99.77 |
| 90837 | Psychotherapy, 60 minutes | $195.07 | $165.81 | $146.30 |
| 90847 | Family or couples psychotherapy, with the patient | $123.75 | $105.19 | $92.81 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $119.51 | $101.58 | $89.63 |
| 90853 | Group psychotherapy (per patient) | $35.49 | $30.17 | $26.62 |
| 90839 | Crisis psychotherapy, first 60 minutes | $187.44 | $159.32 | $140.58 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $203.39 | $172.88 | $152.54 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $235.76 | $200.40 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.75 | $5.74 | $5.06 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $215.10 | $182.84 | – |
| 99213 | Established-patient medical visit, low complexity | $117.69 | $100.04 | – |
| 99214 | Established-patient medical visit, moderate complexity | $166.56 | $141.58 | – |
| 99215 | Established-patient medical visit, high complexity | $235.14 | $199.87 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $90.16 | $76.64 | $67.62 |
| 90785 | Interactive complexity (add-on) | $17.25 | $14.66 | $12.94 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $94.70 | $80.50 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $120.15 | $102.13 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $158.72 | $134.91 | – |
| G2211 | Ongoing-care add-on to a medical visit | $20.38 | $17.32 | – |
Every code
Every code in San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)
Counties: San Francisco/Alameda/Contra Costa/San Mateo.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $100.29 | $85.25 | $75.22 |
| 90834 | Psychotherapy, 45 minutes | $133.00 | $113.05 | $99.75 |
| 90837 | Psychotherapy, 60 minutes | $195.05 | $165.79 | $146.29 |
| 90847 | Family or couples psychotherapy, with the patient | $123.72 | $105.16 | $92.79 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $119.48 | $101.56 | $89.61 |
| 90853 | Group psychotherapy (per patient) | $35.48 | $30.16 | $26.61 |
| 90839 | Crisis psychotherapy, first 60 minutes | $187.40 | $159.29 | $140.55 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $203.36 | $172.86 | $152.52 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $235.56 | $200.23 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.74 | $5.73 | $5.06 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $214.82 | $182.60 | – |
| 99213 | Established-patient medical visit, low complexity | $117.58 | $99.94 | – |
| 99214 | Established-patient medical visit, moderate complexity | $166.40 | $141.44 | – |
| 99215 | Established-patient medical visit, high complexity | $234.90 | $199.67 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $90.14 | $76.62 | $67.61 |
| 90785 | Interactive complexity (add-on) | $17.25 | $14.66 | $12.94 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $94.62 | $80.43 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $120.06 | $102.05 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $158.58 | $134.79 | – |
| G2211 | Ongoing-care add-on to a medical visit | $20.36 | $17.31 | – |
Every code
Every code in San Jose-Sunnyvale-Santa Clara (San Benito County)
Counties: San Benito.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $101.97 | $86.67 | $76.48 |
| 90834 | Psychotherapy, 45 minutes | $135.25 | $114.96 | $101.44 |
| 90837 | Psychotherapy, 60 minutes | $198.30 | $168.56 | $148.73 |
| 90847 | Family or couples psychotherapy, with the patient | $125.66 | $106.81 | $94.25 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $121.39 | $103.18 | $91.04 |
| 90853 | Group psychotherapy (per patient) | $36.10 | $30.69 | $27.08 |
| 90839 | Crisis psychotherapy, first 60 minutes | $190.58 | $161.99 | $142.94 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $206.78 | $175.76 | $155.09 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $240.12 | $204.10 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.92 | $5.88 | $5.19 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $219.66 | $186.71 | – |
| 99213 | Established-patient medical visit, low complexity | $120.13 | $102.11 | – |
| 99214 | Established-patient medical visit, moderate complexity | $170.02 | $144.52 | – |
| 99215 | Established-patient medical visit, high complexity | $240.02 | $204.02 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $91.69 | $77.94 | $68.77 |
| 90785 | Interactive complexity (add-on) | $17.53 | $14.90 | $13.15 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $96.44 | $81.97 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $122.34 | $103.99 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $161.64 | $137.39 | – |
| G2211 | Ongoing-care add-on to a medical visit | $20.78 | $17.66 | – |
Every code
Every code in San Jose-Sunnyvale-Santa Clara (Santa Clara County)
Counties: Santa Clara.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $101.92 | $86.63 | $76.44 |
| 90834 | Psychotherapy, 45 minutes | $135.15 | $114.88 | $101.36 |
| 90837 | Psychotherapy, 60 minutes | $198.21 | $168.48 | $148.66 |
| 90847 | Family or couples psychotherapy, with the patient | $125.57 | $106.73 | $94.18 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $121.25 | $103.06 | $90.94 |
| 90853 | Group psychotherapy (per patient) | $36.05 | $30.64 | $27.04 |
| 90839 | Crisis psychotherapy, first 60 minutes | $190.44 | $161.87 | $142.83 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $206.69 | $175.69 | $155.02 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $239.33 | $203.43 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.88 | $5.85 | $5.16 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $218.54 | $185.76 | – |
| 99213 | Established-patient medical visit, low complexity | $119.71 | $101.75 | – |
| 99214 | Established-patient medical visit, moderate complexity | $169.37 | $143.96 | – |
| 99215 | Established-patient medical visit, high complexity | $239.05 | $203.19 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $91.60 | $77.86 | $68.70 |
| 90785 | Interactive complexity (add-on) | $17.53 | $14.90 | $13.15 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $96.11 | $81.69 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $121.97 | $103.67 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $161.09 | $136.93 | – |
| G2211 | Ongoing-care add-on to a medical visit | $20.69 | $17.59 | – |
Every code
Every code in San Luis Obispo-Paso Robles
Counties: San Luis Obispo.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $89.67 | $76.22 | $67.25 |
| 90834 | Psychotherapy, 45 minutes | $118.89 | $101.06 | $89.17 |
| 90837 | Psychotherapy, 60 minutes | $174.41 | $148.25 | $130.81 |
| 90847 | Family or couples psychotherapy, with the patient | $112.73 | $95.82 | $84.55 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.83 | $92.51 | $81.62 |
| 90853 | Group psychotherapy (per patient) | $31.69 | $26.94 | $23.77 |
| 90839 | Crisis psychotherapy, first 60 minutes | $167.42 | $142.31 | $125.57 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $181.40 | $154.19 | $136.05 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $209.79 | $178.32 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.51 | $4.68 | $4.13 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $186.58 | $158.59 | – |
| 99213 | Established-patient medical visit, low complexity | $101.31 | $86.11 | – |
| 99214 | Established-patient medical visit, moderate complexity | $143.81 | $122.24 | – |
| 99215 | Established-patient medical visit, high complexity | $203.49 | $172.97 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $80.51 | $68.43 | $60.38 |
| 90785 | Interactive complexity (add-on) | $15.39 | $13.08 | $11.54 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $84.45 | $71.78 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $107.10 | $91.04 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $141.53 | $120.30 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.04 | $15.33 | – |
Every code
Every code in Santa Cruz-Watsonville
Counties: Santa Cruz.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $91.50 | $77.78 | $68.63 |
| 90834 | Psychotherapy, 45 minutes | $121.34 | $103.14 | $91.01 |
| 90837 | Psychotherapy, 60 minutes | $177.96 | $151.27 | $133.47 |
| 90847 | Family or couples psychotherapy, with the patient | $114.12 | $97.00 | $85.59 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.21 | $93.68 | $82.66 |
| 90853 | Group psychotherapy (per patient) | $32.36 | $27.51 | $24.27 |
| 90839 | Crisis psychotherapy, first 60 minutes | $170.92 | $145.28 | $128.19 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $185.29 | $157.50 | $138.97 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $214.71 | $182.50 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.86 | $4.98 | $4.40 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $193.20 | $164.22 | – |
| 99213 | Established-patient medical visit, low complexity | $105.19 | $89.41 | – |
| 99214 | Established-patient medical visit, moderate complexity | $149.15 | $126.78 | – |
| 99215 | Established-patient medical visit, high complexity | $210.85 | $179.22 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.21 | $69.88 | $61.66 |
| 90785 | Interactive complexity (add-on) | $15.72 | $13.36 | $11.79 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $86.35 | $73.40 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $109.52 | $93.09 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $144.73 | $123.02 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.51 | $15.73 | – |
Every code
Every code in Santa Maria-Santa Barbara
Counties: Santa Barbara.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $90.94 | $77.30 | $68.21 |
| 90834 | Psychotherapy, 45 minutes | $120.58 | $102.49 | $90.44 |
| 90837 | Psychotherapy, 60 minutes | $176.88 | $150.35 | $132.66 |
| 90847 | Family or couples psychotherapy, with the patient | $114.14 | $97.02 | $85.61 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $110.20 | $93.67 | $82.65 |
| 90853 | Group psychotherapy (per patient) | $32.14 | $27.32 | $24.11 |
| 90839 | Crisis psychotherapy, first 60 minutes | $169.81 | $144.34 | $127.36 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $184.01 | $156.41 | $138.01 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $212.87 | $180.94 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.63 | $4.79 | $4.22 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $189.77 | $161.30 | – |
| 99213 | Established-patient medical visit, low complexity | $103.11 | $87.64 | – |
| 99214 | Established-patient medical visit, moderate complexity | $146.32 | $124.37 | – |
| 99215 | Established-patient medical visit, high complexity | $207.00 | $175.95 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $81.66 | $69.41 | $61.25 |
| 90785 | Interactive complexity (add-on) | $15.61 | $13.27 | $11.71 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $85.67 | $72.82 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $108.66 | $92.36 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $143.58 | $122.04 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.31 | $15.56 | – |
Every code
Every code in Santa Rosa-Petaluma
Counties: Sonoma.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $92.35 | $78.50 | $69.26 |
| 90834 | Psychotherapy, 45 minutes | $122.47 | $104.10 | $91.85 |
| 90837 | Psychotherapy, 60 minutes | $179.62 | $152.68 | $134.72 |
| 90847 | Family or couples psychotherapy, with the patient | $115.16 | $97.89 | $86.37 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $111.21 | $94.53 | $83.41 |
| 90853 | Group psychotherapy (per patient) | $32.66 | $27.76 | $24.50 |
| 90839 | Crisis psychotherapy, first 60 minutes | $172.51 | $146.63 | $129.38 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $187.02 | $158.97 | $140.27 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $216.71 | $184.20 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.92 | $5.03 | $4.44 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $195.05 | $165.79 | – |
| 99213 | Established-patient medical visit, low complexity | $106.22 | $90.29 | – |
| 99214 | Established-patient medical visit, moderate complexity | $150.59 | $128.00 | – |
| 99215 | Established-patient medical visit, high complexity | $212.88 | $180.95 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $82.98 | $70.53 | $62.24 |
| 90785 | Interactive complexity (add-on) | $15.86 | $13.48 | $11.90 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $87.15 | $74.08 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $110.54 | $93.96 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $146.07 | $124.16 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.68 | $15.88 | – |
Every code
Every code in Stockton
Counties: San Joaquin.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Vallejo
Counties: Solano.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $96.33 | $81.88 | $72.25 |
| 90834 | Psychotherapy, 45 minutes | $127.74 | $108.58 | $95.81 |
| 90837 | Psychotherapy, 60 minutes | $187.34 | $159.24 | $140.51 |
| 90847 | Family or couples psychotherapy, with the patient | $119.46 | $101.54 | $89.60 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $115.35 | $98.05 | $86.51 |
| 90853 | Group psychotherapy (per patient) | $34.07 | $28.96 | $25.55 |
| 90839 | Crisis psychotherapy, first 60 minutes | $179.96 | $152.97 | $134.97 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $195.20 | $165.92 | $146.40 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $226.03 | $192.13 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $6.32 | $5.37 | $4.74 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $204.73 | $174.02 | – |
| 99213 | Established-patient medical visit, low complexity | $111.81 | $95.04 | – |
| 99214 | Established-patient medical visit, moderate complexity | $158.36 | $134.61 | – |
| 99215 | Established-patient medical visit, high complexity | $223.70 | $190.15 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $86.55 | $73.57 | $64.91 |
| 90785 | Interactive complexity (add-on) | $16.56 | $14.08 | $12.42 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $90.84 | $77.21 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $115.25 | $97.96 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $152.25 | $129.41 | – |
| G2211 | Ongoing-care add-on to a medical visit | $19.51 | $16.58 | – |
Every code
Every code in Visalia
Counties: Tulare.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Yuba City
Counties: Sutter, Yuba.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
Every code
Every code in Rest of California
Counties: All Other Counties.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.77 | $75.45 | $66.58 |
| 90834 | Psychotherapy, 45 minutes | $117.70 | $100.05 | $88.28 |
| 90837 | Psychotherapy, 60 minutes | $172.69 | $146.79 | $129.52 |
| 90847 | Family or couples psychotherapy, with the patient | $112.15 | $95.33 | $84.11 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.25 | $92.01 | $81.19 |
| 90853 | Group psychotherapy (per patient) | $31.36 | $26.66 | $23.52 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.71 | $140.85 | $124.28 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $179.49 | $152.57 | $134.62 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $207.32 | $176.22 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.30 | $4.51 | $3.98 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $183.04 | $155.58 | – |
| 99213 | Established-patient medical visit, low complexity | $99.22 | $84.34 | – |
| 99214 | Established-patient medical visit, moderate complexity | $140.94 | $119.80 | – |
| 99215 | Established-patient medical visit, high complexity | $199.54 | $169.61 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.68 | $67.73 | $59.76 |
| 90785 | Interactive complexity (add-on) | $15.24 | $12.95 | $11.43 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $83.50 | $70.98 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $105.89 | $90.01 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $139.93 | $118.94 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.79 | $15.12 | – |
2027 proposal
What Medicare proposes for California in 2027
90837 at 100% under CMS's 2027 proposed rule (CMS-1848-P), against 2026. The final rule usually comes out in early November; these figures change to it when it does. Why the therapy codes rise is on the national page.
| Locality | 2026 | 2027 proposed | Change |
|---|---|---|---|
| Bakersfield | $172.99 | $192.75 | +11.4% |
| Chico | $172.69 | $192.72 | +11.6% |
| El Centro | $172.69 | $192.72 | +11.6% |
| Fresno | $172.69 | $192.72 | +11.6% |
| Hanford-Corcoran | $172.69 | $192.72 | +11.6% |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County) | $179.29 | $199.21 | +11.1% |
| Madera | $172.69 | $192.72 | +11.6% |
| Merced | $172.69 | $192.72 | +11.6% |
| Modesto | $172.69 | $192.72 | +11.6% |
| Napa | $187.38 | $211.19 | +12.7% |
| Oxnard-Thousand Oaks-Ventura | $177.58 | $198.44 | +11.7% |
| Redding | $172.69 | $192.72 | +11.6% |
| Riverside-San Bernardino-Ontario | $173.03 | $192.92 | +11.5% |
| Sacramento-Roseville-Folsom | $177.77 | $198.74 | +11.8% |
| Salinas | $176.98 | $196.40 | +11.0% |
| San Diego-Chula Vista-Carlsbad | $178.34 | $199.81 | +12.0% |
| San Francisco-Oakland-Berkeley (Marin County) | $195.07 | $219.59 | +12.6% |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County) | $195.05 | $219.56 | +12.6% |
| San Jose-Sunnyvale-Santa Clara (San Benito County) | $198.30 | $224.67 | +13.3% |
| San Jose-Sunnyvale-Santa Clara (Santa Clara County) | $198.21 | $224.58 | +13.3% |
| San Luis Obispo-Paso Robles | $174.41 | $195.35 | +12.0% |
| Santa Cruz-Watsonville | $177.96 | $200.11 | +12.4% |
| Santa Maria-Santa Barbara | $176.88 | $197.45 | +11.6% |
| Santa Rosa-Petaluma | $179.62 | $201.18 | +12.0% |
| Stockton | $172.69 | $192.72 | +11.6% |
| Vallejo | $187.34 | $211.15 | +12.7% |
| Visalia | $172.69 | $192.72 | +11.6% |
| Yuba City | $172.69 | $192.72 | +11.6% |
| Rest of California | $172.69 | $192.72 | +11.6% |
Rate alerts
Get the final 2027 Medicare rates by email
CMS's final rule for 2027 usually comes out in early November. When it does, these pages change to its rates and you get one short email with what changed. The same list tells you when a therapy platform changes its pay, fees or requirements.
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AI companies hire licensed clinicians as remote contractors to write and grade mental-health material for their models: 8 roles open today, at $45 to $155 an hour as posted.
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Questions
Medicare therapy rates in California, answered
What does Medicare pay for 90837 in California in 2026?
$172.69 (Chico) to $198.30 (San Jose-Sunnyvale-Santa Clara (San Benito County)) for a psychologist or psychiatrist, in an office or by telehealth to a patient at home; $146.79 (Chico) to $168.56 (San Jose-Sunnyvale-Santa Clara (San Benito County)) for a psychiatric nurse practitioner or PA; and $129.52 (Chico) to $148.73 (San Jose-Sunnyvale-Santa Clara (San Benito County)) for an LCSW, LMFT or LPC.
What does Medicare pay for 90834 in California?
$117.70 (Chico) to $135.25 (San Jose-Sunnyvale-Santa Clara (San Benito County)) for a psychologist or psychiatrist and $88.28 (Chico) to $101.44 (San Jose-Sunnyvale-Santa Clara (San Benito County)) for an LCSW, LMFT or LPC in 2026.
How many Medicare payment localities does California have?
29: Bakersfield (Kern); Chico (Butte); El Centro (Imperial); Fresno; Hanford-Corcoran (Kings); Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County); Madera; Merced; Modesto (Stanislaus); Napa; Oxnard-Thousand Oaks-Ventura; Redding (Shasta); Riverside-San Bernardino-Ontario (San Bernardino, Riverside); Sacramento-Roseville-Folsom (Sacramento, Placer, Yolo, El Dorado); Salinas (Monterey); San Diego-Chula Vista-Carlsbad; San Francisco-Oakland-Berkeley (Marin County); San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County) (San Francisco/Alameda/Contra Costa/San Mateo); San Jose-Sunnyvale-Santa Clara (San Benito County); San Jose-Sunnyvale-Santa Clara (Santa Clara County); San Luis Obispo-Paso Robles; Santa Cruz-Watsonville; Santa Maria-Santa Barbara; Santa Rosa-Petaluma (Sonoma); Stockton (San Joaquin); Vallejo (Solano); Visalia (Tulare); Yuba City (Sutter, Yuba); Rest of California. The rate follows where you deliver the service.
Is Medicare's therapy rate in California above or below the national rate?
For 90837, the localities in California pay $172.69 (Chico) to $198.30 (San Jose-Sunnyvale-Santa Clara (San Benito County)): from 3.4% above to 18.7% above the national $167.00.
What would Medicare pay for therapy in California in 2027?
Under CMS's 2027 proposed rule, 90837 in California would pay $192.72 (Chico) to $224.67 (San Jose-Sunnyvale-Santa Clara (San Benito County)) (+11.0% to +13.3% on 2026). The final rule usually comes out in early November.
How the shares, telehealth and the patient's 20% work, with CMS's own words for each, is on the national Medicare rates page. Working through a platform instead? Compare what each pays and charges clinicians on its therapist page, or see who is hiring in California.
Medicare therapy rates in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Computed with CMS's payment formula from its RVU26D relative value and GPCI files (CMS), read Oct 29, 2026, and checked against every 2026 amount for these codes in CMS's national payment amount file. Shares by clinician type are from CMS's mental health booklet; counties per locality from CMS's locality file. CPT codes are the American Medical Association's; the descriptions here are our own.