Reimbursement Rates Cheat Sheet

Below is the reimbursement rates cheat sheet to assist you in collecting correct deductible amounts. For example, if you are seeing an Anthem patient for 90837s, the correct amount to collect would be $152.66. We regularly negotiate with insurance companies for higher rates of reimbursement.

LPC, LCSW, or LMFTs

	90791	90832	90834	90837	90846	90847
Aetna	130.39	56.37	74.54	109.71	71.27	74.32
Anthem	172.70	78.50	103.56	152.66	97.88	102.55
Cigna	132.61	57.29	76.38	111.39	81.69	84.87
Compsych	100.00		78.00	95.00
GEHA	150.82			96.85		105.54
Humana	133.68		71.70	104.98	65.68	78.74
Medicaid Plans	123.34	58.33	76.73	114.02	72.95	76.01
Medicare & ChampVA	129.30	64.04	84.92	124.60	71.55	81.85
Sentara	160.35	75.83	100.06	148.23	94.78	98.81
Tricare	84.05	41.63	55.20	80.98	55.53	53.20
UBH/Optum	150.82	65.18	86.22	126.85	101.44	105.54
UHC/Optum Medicare & Dual Plans	96.24	46.73	62.47	93.70	75.42	78.46
Compsych EAP	85.00	85.00	85.00	85.00	85.00	85.00
Optima EAP	85.00	85.00	85.00	85.00	85.00	85.00
UBH/Optum EAP	Not Covered	65.18	86.22	Not Covered	101.44	105.54
Self Pay Rates	135.00	55.00	100.00	115.00	115.00	115.00

LCPs (Psychologists)

	90791	90834	90837	90847	96130	96131	96136	96137
Aetna	173.85	99.39	146.28	99.09
Anthem	182.86	108.03	161.64	108.59	127.33	90.90	44.21	39.97
Beacon	140.00	95.00	135.00	85.00	108.11	83.23	43.57	40.30
Cigna (Eff. 8/1/25)	147.29	84.46	123.60	93.73	99.91	74.16	37.08	32.96
Humana	144.82	77.68	113.72	85.30	79.60
Medicaid Plans	182.73	101.75	152.03	91.74	118.80	84.81	41.25	37.29
Medicare & ChampVA	168.15	103.55	153.35	101.59	108.05	81.28	24.26	18.76
UBH/Optum (5/1/25)	201.09	114.97	169.13	119.61	138.35	99.76	49.11	45.21
Sentara	221.78	132.99	196.04		150.41	106.07	52.21	45.99
Tricare	119.62	63.34	124.59	76.78
Compsych EAP	85.00
Optima EAP	85.00
UBH/Optum EAP	Not Covered	91.08	Not Covered	114.41
Self Pay Rates	160.00	115.00	135.00	135.00	175.00	175.00	87.50	87.50

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