What is a payer reimbursement rate?

A payer reimbursement rate is the amount an insurance payer actually paid out for a given service (identified by CPT code), typically varying by the clinician's license type and the state where the claim was adjudicated.

Where does this reimbursement data come from?

The figures shown are de-identified, aggregate statistics drawn from adjudicated claims. They reflect actual amounts a payer reimbursed during the stated time window, not advertised fee schedules.

Why do rates vary by state and CPT code?

Reimbursement amounts differ by state because payers negotiate or set rates regionally, and by CPT code because each code represents a distinct service with its own allowed amount. License type can also influence payment.

Is this a guarantee of what I will be paid?

No. These are historical, aggregate reimbursement figures. Actual payment depends on the specific contract, patient plan, modifiers, and claim details. Low claim counts for a combination are expected and not a guarantee of any particular future reimbursement.

Browse Behavioral Health Payer Reimbursement Rates

Select a payer to see what they actually paid for behavioral health claims, or filter by CPT code first to compare rates across payers, broken down by state and clinician license type.

A

Aetna
Amerigroup

B

BCBS of NC
BCBS SC State Health Plan
Blue Cross & Blue Shield of Rhode I
Blue Cross Blue Shield of Georgia
Blue Cross Blue Shield of Kentucky
Blue Cross Blue Shield of Nebraska
Blue Cross Blue Shield of New Mexic
Blue Cross Blue Shield of South Car

C

ChampVa-HAC
Cigna

D

Devoted Health

E

Evernorth Behavioral Health

M

Magellan
Medicaid-Nevada
Medical Mutual of Ohio
Medicare - New Hampshire
Medicare - North Dakota
Medicare Kansas
Medicare New Mexico
Medicare of Pennsylvania
Medicare of Tennessee
Medicare South Carolina
Medicare-Connecticut
Medicare-Kentucky
Medicare-Nebraska
MODA
Molina Healthcare of Nebraska, Inc

N

Nebraska Total Care

O

Optum Health Behavior Solutions

P

Pacific Source Health Plans

R

Regence BCBS of Oregon

T

Tricare West

U

UMR
United Behavioral Health
United Healthcare Medicare Adv
UnitedHealthCare
UPMC Health Plan

Browse Behavioral Health Reimbursement by CPT Code

Select a CPT code to filter down to the payers who reimbursed it, then see rates by state and license type.

90791 90791:95 90791:GT 90791:HL 90792 90832 90832:95 90833:95 90833:GT 90834 90834:95 90834:GT 90834:HL 90836 90837 90837:95 90837:95:AJ 90837:GT 90837:GT:95 90838 90847 90847:95 96137 97153 99214 99214:95 99214:GT H0001 H0002