What Medicare pays for therapy in Maryland in 2026
Medicare's 2026 rate for each psychotherapy and psychiatry code in each of the 3 Medicare localities that pay in Maryland, 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
In Maryland, Medicare's 2026 rate for a 60-minute psychotherapy session (90837) is $168.69 to $181.03 for a psychologist or psychiatrist, $143.39 to $153.88 for a psychiatric nurse practitioner or PA, and $126.52 to $135.77 for an LCSW, LMFT or LPC. A 45-minute session (90834) is $115.03 to $123.52. Telehealth to a patient at home pays the same office rate, and the patient pays 20% of it after the Part B deductible.
Medicare therapy rates in Maryland, 2026
Maryland has 3 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% | |
| Baltimore/Surrounding CountiesAnne Arundel, Baltimore, Baltimore City, Carroll, Harford and Howard | $172.11 | $129.08 | $117.45 | $88.09 | $88.47 | $66.35 | $178.80 | $134.10 |
| Rest of MarylandAll Other Counties Except Montgomery and Prince George's | $168.69 | $126.52 | $115.03 | $86.27 | $86.71 | $65.03 | $175.11 | $131.33 |
| DC + MD/VA SuburbsDistrict of Columbia; Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City in Virginia; Montgomery and Prince George's in Maryland | $181.03 | $135.77 | $123.52 | $92.64 | $93.06 | $69.80 | $188.26 | $141.20 |
Every code in Baltimore/Surrounding Counties
Counties: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford and Howard.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $88.47 | $75.20 | $66.35 |
| 90834 | Psychotherapy, 45 minutes | $117.45 | $99.83 | $88.09 |
| 90837 | Psychotherapy, 60 minutes | $172.11 | $146.29 | $129.08 |
| 90847 | Family or couples psychotherapy, with the patient | $112.22 | $95.39 | $84.17 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $108.56 | $92.28 | $81.42 |
| 90853 | Group psychotherapy (per patient) | $31.39 | $26.68 | $23.54 |
| 90839 | Crisis psychotherapy, first 60 minutes | $165.38 | $140.57 | $124.04 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $178.80 | $151.98 | $134.10 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $209.84 | $178.36 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.43 | $4.62 | $4.07 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $186.67 | $158.67 | – |
| 99213 | Established-patient medical visit, low complexity | $100.16 | $85.14 | – |
| 99214 | Established-patient medical visit, moderate complexity | $142.62 | $121.23 | – |
| 99215 | Established-patient medical visit, high complexity | $202.25 | $171.91 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $79.64 | $67.69 | $59.73 |
| 90785 | Interactive complexity (add-on) | $15.14 | $12.87 | $11.36 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $84.58 | $71.89 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $107.05 | $90.99 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $141.79 | $120.52 | – |
| G2211 | Ongoing-care add-on to a medical visit | $18.12 | $15.40 | – |
Every code in Rest of Maryland
Counties: All Other Counties Except Montgomery and Prince George's.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $86.71 | $73.70 | $65.03 |
| 90834 | Psychotherapy, 45 minutes | $115.03 | $97.78 | $86.27 |
| 90837 | Psychotherapy, 60 minutes | $168.69 | $143.39 | $126.52 |
| 90847 | Family or couples psychotherapy, with the patient | $110.62 | $94.03 | $82.97 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $106.87 | $90.84 | $80.15 |
| 90853 | Group psychotherapy (per patient) | $30.68 | $26.08 | $23.01 |
| 90839 | Crisis psychotherapy, first 60 minutes | $161.91 | $137.62 | $121.43 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $175.11 | $148.84 | $131.33 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $203.69 | $173.14 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.04 | $4.28 | $3.78 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $178.56 | $151.78 | – |
| 99213 | Established-patient medical visit, low complexity | $95.97 | $81.57 | – |
| 99214 | Established-patient medical visit, moderate complexity | $136.67 | $116.17 | – |
| 99215 | Established-patient medical visit, high complexity | $193.85 | $164.77 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $77.90 | $66.22 | $58.43 |
| 90785 | Interactive complexity (add-on) | $14.85 | $12.62 | $11.14 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $82.14 | $69.82 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $104.05 | $88.44 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $137.68 | $117.03 | – |
| G2211 | Ongoing-care add-on to a medical visit | $17.49 | $14.87 | – |
Every code in DC + MD/VA Suburbs
This locality is billed under District of Columbia and covers: District of Columbia; Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City in Virginia; Montgomery and Prince George's in Maryland.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $93.06 | $79.10 | $69.80 |
| 90834 | Psychotherapy, 45 minutes | $123.52 | $104.99 | $92.64 |
| 90837 | Psychotherapy, 60 minutes | $181.03 | $153.88 | $135.77 |
| 90847 | Family or couples psychotherapy, with the patient | $117.17 | $99.59 | $87.88 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $113.31 | $96.31 | $84.98 |
| 90853 | Group psychotherapy (per patient) | $33.01 | $28.06 | $24.76 |
| 90839 | Crisis psychotherapy, first 60 minutes | $173.97 | $147.87 | $130.48 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $188.26 | $160.02 | $141.20 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $220.45 | $187.38 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $5.88 | $5.00 | $4.41 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $197.64 | $167.99 | – |
| 99213 | Established-patient medical visit, low complexity | $106.56 | $90.58 | – |
| 99214 | Established-patient medical visit, moderate complexity | $151.49 | $128.77 | – |
| 99215 | Established-patient medical visit, high complexity | $214.58 | $182.39 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $83.76 | $71.20 | $62.82 |
| 90785 | Interactive complexity (add-on) | $15.95 | $13.56 | $11.96 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $88.77 | $75.45 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $112.42 | $95.56 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $148.82 | $126.50 | – |
| G2211 | Ongoing-care add-on to a medical visit | $19.05 | $16.19 | – |
What Medicare proposes for Maryland 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 |
|---|---|---|---|
| Baltimore/Surrounding Counties | $172.11 | $190.34 | +10.6% |
| Rest of Maryland | $168.69 | $186.33 | +10.5% |
| DC + MD/VA Suburbs | $181.03 | $200.40 | +10.7% |
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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Medicare therapy rates in Maryland, answered
What does Medicare pay for 90837 in Maryland in 2026?
$168.69 (Rest of Maryland) to $181.03 (DC + MD/VA Suburbs) for a psychologist or psychiatrist, in an office or by telehealth to a patient at home; $143.39 (Rest of Maryland) to $153.88 (DC + MD/VA Suburbs) for a psychiatric nurse practitioner or PA; and $126.52 (Rest of Maryland) to $135.77 (DC + MD/VA Suburbs) for an LCSW, LMFT or LPC.
What does Medicare pay for 90834 in Maryland?
$115.03 (Rest of Maryland) to $123.52 (DC + MD/VA Suburbs) for a psychologist or psychiatrist and $86.27 (Rest of Maryland) to $92.64 (DC + MD/VA Suburbs) for an LCSW, LMFT or LPC in 2026.
How many Medicare payment localities does Maryland have?
3: Baltimore/Surrounding Counties (Anne Arundel, Baltimore, Baltimore City, Carroll, Harford and Howard); Rest of Maryland (All Other Counties Except Montgomery and Prince George's); DC + MD/VA Suburbs (District of Columbia; Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City in Virginia; Montgomery and Prince George's in Maryland). The rate follows where you deliver the service.
Is Medicare's therapy rate in Maryland above or below the national rate?
For 90837, the localities in Maryland pay $168.69 (Rest of Maryland) to $181.03 (DC + MD/VA Suburbs): from 1.0% above to 8.4% above the national $167.00.
What would Medicare pay for therapy in Maryland in 2027?
Under CMS's 2027 proposed rule, 90837 in Maryland would pay $186.33 (Rest of Maryland) to $200.40 (DC + MD/VA Suburbs) (+10.5% to +10.7% 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 Maryland.
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.