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Code Reality Check

90834 reimbursement rate: Psychotherapy, 45 minutes

Psychotherapy, 45 minutes (CPT 90834) pays a median $128.52 in District of Columbia and $84.59 in Kentucky, against a Medicare anchor of $111.36. 51 of 51 states clear the publication floor.

spread 1.5x top to bottom Medicare anchor $111.36 51/51 states published

The 50-state spread

as of 2026-07-15
StateMedianvs MedicareBandRate pointsTier
District of Columbia$128.521.15x$105–$181 · P90 $1981,671Benchmark
New York$120.751.08x$85–$130 · P90 $220248,589Benchmark
North Carolina$119.461.07x$85–$163 · P90 $179107,993Benchmark
Connecticut$115.101.03x$86–$145 · P90 $2145,007Benchmark
New Jersey$114.831.03x$81–$148 · P90 $19619,048Benchmark
Maryland$110.080.99x$96–$136 · P90 $1914,704Benchmark
Wyoming$109.840.99x$85–$124 · P90 $166608Benchmark
Virginia$109.230.98x$104–$122 · P90 $16328,857Benchmark
California$108.160.97x$104–$164 · P90 $294144,818Benchmark
Rhode Island$107.660.97x$92–$124 · P90 $1518,952Benchmark
Massachusetts$107.660.97x$94–$120 · P90 $1879,967Benchmark
New Hampshire$106.810.96x$98–$132 · P90 $19611,774Benchmark
Nevada$106.290.95x$97–$131 · P90 $2001,963Benchmark
Texas$105.460.95x$88–$134 · P90 $19730,644Benchmark
Maine$104.520.94x$96–$135 · P90 $19710,357Benchmark
Delaware$104.110.93x$86–$134 · P90 $187772Benchmark
Oregon$104.060.93x$89–$149 · P90 $2261,875Benchmark
Utah$104.030.93x$93–$142 · P90 $2291,201Benchmark
Arizona$104.030.93x$93–$138 · P90 $2153,865Benchmark
Hawaii$104.030.93x$92–$121 · P90 $171946Benchmark
Idaho$104.030.93x$93–$131 · P90 $188652Benchmark
Montana$104.030.93x$93–$142 · P90 $237484Benchmark
Washington$104.030.93x$91–$141 · P90 $2143,581Benchmark
Florida$104.010.93x$88–$126 · P90 $18317,529Benchmark
North Dakota$103.670.93x$93–$139 · P90 $224381Benchmark
New Mexico$103.630.93x$88–$130 · P90 $1931,055Benchmark
Georgia$103.210.93x$83–$160 · P90 $20784,078Benchmark
Louisiana$102.550.92x$86–$142 · P90 $2011,594Benchmark
Tennessee$101.410.91x$85–$122 · P90 $1656,782Benchmark
Oklahoma$100.210.90x$86–$123 · P90 $1791,297Benchmark
Michigan$100.000.90x$90–$138 · P90 $2056,121Benchmark
Nebraska$100.000.90x$85–$144 · P90 $223640Benchmark
South Dakota$100.000.90x$85–$140 · P90 $202276Benchmark
Alaska$100.000.90x$85–$144 · P90 $199363Benchmark
Alabama$100.000.90x$85–$119 · P90 $1822,541Benchmark
Mississippi$99.820.90x$85–$124 · P90 $183761Benchmark
Minnesota$99.590.89x$88–$225 · P90 $3067,380Benchmark
Illinois$98.970.89x$90–$163 · P90 $28113,905Benchmark
Colorado$98.620.89x$66–$125 · P90 $1459,097Benchmark
Arkansas$98.020.88x$85–$123 · P90 $1761,196Benchmark
Missouri$98.000.88x$85–$110 · P90 $15755,707Benchmark
Kansas$98.000.88x$84–$115 · P90 $1471,800Benchmark
Vermont$97.670.88x$82–$111 · P90 $1221,529Benchmark
Wisconsin$97.520.88x$88–$304 · P90 $37048,756Benchmark
Iowa$97.470.88x$86–$132 · P90 $2131,522Benchmark
South Carolina$97.210.87x$85–$144 · P90 $1786,977Benchmark
Indiana$94.020.84x$81–$98 · P90 $12545,000Benchmark
West Virginia$93.210.84x$85–$121 · P90 $1621,964Benchmark
Pennsylvania$93.210.84x$86–$120 · P90 $19218,978Benchmark
Ohio$93.210.84x$93–$147 · P90 $28867,999Benchmark
Kentucky$84.590.76x$74–$97 · P90 $12120,723Benchmark
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

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Cite this page

Source: Reddenda Code Reality Check, CPT 90834. Reddenda. https://reddenda.health/code/90834/
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Derivation federally mandated TiC MRFs, verified to provider identity1,074,279 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0
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