Commercial insurance reimbursement rates, beside Medicaid
What 31 commercial payers pay in 55 states for the codes Medicaid providers bill, next to each state's Medicaid fee-for-service rate, Medicare and TRICARE. Every rate is in one unit, per 15 minutes or per hour, with its sample size.
- Payers
- 31
- States
- 55
- Code x state comparisons
- 1,269
- Files
- October 2026
Every payer, one code, one state
90791 (Mental health assessment (non-physician)) in New York
Commercial payers' median for 90791 in New York: $154.99 per session.
90834 (Outpatient psychotherapy and diagnostic evaluation) in New York
Commercial payers' median for 90834 in New York: $101.48 per session.
Commercial payers
- AetnaAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 46 more
- Ambetter (Centene)Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 45 more
- BCBS ArizonaArizona
- BCBS IllinoisAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 42 more
- BCBS KansasAlabama, Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia and 29 more
- BCBS LouisianaAlabama, Arkansas, Arizona, California, Colorado, District of Columbia, Florida, Georgia and 31 more
- BCBS MassachusettsAlabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware and 40 more
- BCBS MichiganAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 40 more
- BCBS MinnesotaAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 42 more
- BCBS MontanaAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Delaware and 40 more
- BCBS NebraskaAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 43 more
- BCBS New MexicoAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Delaware and 41 more
- BCBS OklahomaAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 44 more
- BCBS South CarolinaSouth Carolina
- BCBS TennesseeAlabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Florida and 31 more
- BCBS TexasAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 45 more
- BCBS VermontMassachusetts, New Hampshire, New York, Ohio, Vermont
- Blue KCAlabama, Arkansas, Arizona, California, Colorado, Connecticut, Delaware, Florida and 35 more
- CignaGeorgia, Kansas, Louisiana, Michigan, Missouri, Ohio, Oklahoma
- Excellus BCBSNew York
- Florida BlueFlorida, Illinois, Kentucky, Massachusetts, North Carolina, New York, Pennsylvania
- Health NetCalifornia
- Highmark BCBSDelaware, New York, Pennsylvania
- Horizon BCBS NJAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 42 more
- Independence Blue CrossArizona, California, Connecticut, Delaware, Florida, Massachusetts, Maryland, Michigan and 6 more
- Kaiser PermanenteAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 44 more
- Premera Blue CrossAlaska, Arizona, California, Georgia, North Carolina, Texas, Washington
- QualChoiceAlabama, Arkansas, Arizona, California, Colorado, Florida, Georgia, Illinois and 17 more
- RegenceAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 43 more
- UnitedHealthcareAlaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia and 44 more
- Wellmark BCBSAlabama, Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia and 38 more
Frequently asked questions
Where do commercial reimbursement rates come from?
Health plans must publish their negotiated rates in machine-readable Transparency in Coverage files, and hospitals must publish theirs under the federal hospital price-transparency rule. We read those files for the codes we track and publish medians by payer, state and code.
Are these rates estimates?
No. Every median is computed from published rates, and a median is shown only when at least 5 distinct rates support it. Each figure carries its sample size and the month of the files (October 2026).
Why compare commercial rates with Medicaid?
Providers who bill Medicaid, Medicaid plans, Medicare, TRICARE and commercial payers negotiate each contract on its own. Seeing every payer's rate for the same code, in the same unit, shows where a contract stands.