Code Reality Check
90847 reimbursement rate: Family psychotherapy with patient, 50 min
Family psychotherapy with patient, 50 min (CPT 90847) pays a median $142.31 in Washington and $85.87 in Kentucky, against a Medicare anchor of $128.86. 51 of 51 states clear the publication floor.
spread 1.7x top to bottom
Medicare anchor $128.86
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| Washington | $142.31 | 1.10x | $109–$225 · P90 $299 | 10,328 | Benchmark |
| Wyoming | $139.89 | 1.09x | $108–$153 · P90 $196 | 619 | Benchmark |
| District of Columbia | $135.14 | 1.05x | $120–$188 · P90 $196 | 2,108 | Benchmark |
| Wisconsin | $131.55 | 1.02x | $97–$359 · P90 $434 | 45,942 | Benchmark |
| California | $131.26 | 1.02x | $121–$269 · P90 $504 | 147,442 | Benchmark |
| New Jersey | $122.43 | 0.95x | $87–$170 · P90 $220 | 18,549 | Benchmark |
| Minnesota | $121.84 | 0.95x | $97–$344 · P90 $387 | 8,648 | Benchmark |
| Nevada | $121.10 | 0.94x | $105–$154 · P90 $315 | 1,766 | Benchmark |
| Virginia | $120.65 | 0.94x | $117–$135 · P90 $185 | 31,196 | Benchmark |
| Maryland | $120.65 | 0.94x | $106–$135 · P90 $215 | 5,126 | Benchmark |
| Oregon | $120.59 | 0.94x | $104–$191 · P90 $322 | 1,984 | Benchmark |
| Hawaii | $119.95 | 0.93x | $104–$166 · P90 $255 | 869 | Benchmark |
| Utah | $119.91 | 0.93x | $104–$171 · P90 $337 | 1,054 | Benchmark |
| Arizona | $119.91 | 0.93x | $104–$158 · P90 $283 | 3,685 | Benchmark |
| North Dakota | $119.85 | 0.93x | $97–$167 · P90 $324 | 322 | Benchmark |
| New York | $119.78 | 0.93x | $97–$130 · P90 $225 | 250,149 | Benchmark |
| Connecticut | $119.70 | 0.93x | $102–$153 · P90 $255 | 4,758 | Benchmark |
| Delaware | $117.20 | 0.91x | $102–$162 · P90 $219 | 743 | Benchmark |
| Idaho | $116.48 | 0.90x | $103–$142 · P90 $216 | 703 | Benchmark |
| Rhode Island | $116.37 | 0.90x | $98–$129 · P90 $178 | 8,889 | Benchmark |
| Texas | $115.79 | 0.90x | $100–$155 · P90 $231 | 30,045 | Benchmark |
| New Mexico | $113.72 | 0.88x | $96–$153 · P90 $255 | 1,072 | Benchmark |
| Louisiana | $113.40 | 0.88x | $97–$154 · P90 $267 | 1,427 | Benchmark |
| Georgia | $113.02 | 0.88x | $102–$167 · P90 $216 | 84,309 | Benchmark |
| Florida | $112.56 | 0.87x | $100–$137 · P90 $216 | 16,709 | Benchmark |
| Oklahoma | $112.44 | 0.87x | $97–$143 · P90 $226 | 1,221 | Benchmark |
| Nebraska | $112.31 | 0.87x | $97–$195 · P90 $321 | 589 | Benchmark |
| South Dakota | $112.13 | 0.87x | $96–$193 · P90 $340 | 270 | Benchmark |
| Illinois | $112.00 | 0.87x | $99–$183 · P90 $275 | 13,631 | Benchmark |
| Montana | $112.00 | 0.87x | $104–$159 · P90 $325 | 515 | Benchmark |
| Kansas | $112.00 | 0.87x | $95–$126 · P90 $194 | 1,695 | Benchmark |
| Missouri | $112.00 | 0.87x | $99–$135 · P90 $213 | 52,394 | Benchmark |
| Arkansas | $112.00 | 0.87x | $102–$143 · P90 $203 | 1,176 | Benchmark |
| Massachusetts | $111.74 | 0.87x | $97–$126 · P90 $225 | 8,592 | Benchmark |
| Mississippi | $110.94 | 0.86x | $94–$149 · P90 $226 | 739 | Benchmark |
| Pennsylvania | $110.68 | 0.86x | $86–$152 · P90 $216 | 13,405 | Benchmark |
| Ohio | $110.45 | 0.86x | $97–$167 · P90 $292 | 90,264 | Benchmark |
| Michigan | $110.45 | 0.86x | $97–$154 · P90 $274 | 6,074 | Benchmark |
| Vermont | $109.87 | 0.85x | $94–$113 · P90 $129 | 1,333 | Benchmark |
| New Hampshire | $109.87 | 0.85x | $105–$131 · P90 $194 | 9,881 | Benchmark |
| Alabama | $108.84 | 0.84x | $96–$132 · P90 $192 | 2,572 | Benchmark |
| Alaska | $108.72 | 0.84x | $95–$140 · P90 $240 | 404 | Benchmark |
| West Virginia | $108.56 | 0.84x | $90–$121 · P90 $142 | 2,052 | Benchmark |
| Tennessee | $108.51 | 0.84x | $94–$126 · P90 $185 | 6,776 | Benchmark |
| North Carolina | $104.92 | 0.81x | $94–$108 · P90 $125 | 97,944 | Benchmark |
| South Carolina | $104.92 | 0.81x | $94–$116 · P90 $175 | 6,596 | Benchmark |
| Iowa | $104.92 | 0.81x | $97–$154 · P90 $267 | 1,517 | Benchmark |
| Maine | $104.92 | 0.81x | $89–$152 · P90 $194 | 10,193 | Benchmark |
| Indiana | $104.16 | 0.81x | $89–$108 · P90 $135 | 55,054 | Benchmark |
| Colorado | $102.00 | 0.79x | $66–$125 · P90 $127 | 14,155 | Benchmark |
| Kentucky | $85.87 | 0.67x | $73–$110 · P90 $155 | 23,691 | Benchmark |
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 90847. Reddenda. https://reddenda.health/code/90847/
Derivation federally mandated TiC MRFs, verified to provider identity1,101,175 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0