# CPT 90833: Psychotherapy, 30 minutes with patient, add-on to E/M service

Medicare CPT 90833 pays $81.50 in a non-facility setting and $65.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $77.26 in Arkansas to $110.44 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/90833-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Emergency Medicine, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $81.50 |
| National facility | $65.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $110.44 | $93.72 |
| District of Columbia | $88.77 | $70.28 |
| New York | $87.59 | $70.08 |
| New Jersey | $87.41 | $69.74 |
| California | $86.51 | $67.94 |
| Washington | $85.89 | $68.00 |
| Massachusetts | $85.49 | $67.85 |
| Connecticut | $84.83 | $67.92 |
| Florida | $83.78 | $68.03 |
| Hawaii | $83.53 | $65.68 |
| Maryland | $83.36 | $67.00 |
| Illinois | $83.09 | $67.92 |
| Colorado | $83.08 | $66.38 |
| Rhode Island | $83.06 | $66.84 |
| Oregon | $82.49 | $65.95 |
| New Hampshire | $82.11 | $65.77 |
| Pennsylvania | $81.72 | $66.35 |
| Puerto Rico | $81.71 | $65.83 |
| Virgin Islands | $81.71 | $65.83 |
| Montana | $81.49 | $65.80 |
| Texas | $81.30 | $65.85 |
| Delaware | $81.28 | $65.77 |
| Nevada | $81.13 | $65.42 |
| Michigan | $81.10 | $66.37 |
| Georgia | $81.03 | $66.05 |
| Wyoming | $80.89 | $65.19 |
| Minnesota | $80.49 | $64.34 |
| Arizona | $80.48 | $65.27 |
| Virginia | $80.44 | $65.00 |
| New Mexico | $80.14 | $65.74 |
| Vermont | $80.12 | $64.58 |
| North Dakota | $80.11 | $64.41 |
| South Dakota | $79.95 | $64.25 |
| Utah | $79.94 | $65.18 |
| Louisiana | $79.69 | $65.35 |
| Maine | $79.65 | $64.65 |
| Missouri | $79.65 | $65.24 |
| West Virginia | $79.62 | $65.98 |
| Ohio | $79.60 | $65.27 |
| South Carolina | $79.47 | $64.97 |
| North Carolina | $79.18 | $64.53 |
| Wisconsin | $78.95 | $63.92 |
| Kentucky | $78.85 | $64.90 |
| Indiana | $78.69 | $64.13 |
| Oklahoma | $78.62 | $64.60 |
| Idaho | $78.50 | $64.06 |
| Tennessee | $78.41 | $64.14 |
| Nebraska | $78.35 | $63.86 |
| Kansas | $78.22 | $64.03 |
| Iowa | $78.21 | $63.85 |
| Mississippi | $77.82 | $64.31 |
| Alabama | $77.73 | $63.99 |
| Arkansas | $77.26 | $63.77 |

## Related codes

- 90785: Interactive complexity (add-on) — https://www.med-reveal.com/rates/90785-cpt-fee-schedule
- 90832: Psychotherapy, 30 minutes with patient — https://www.med-reveal.com/rates/90832-cpt-fee-schedule
- 90834: Psychotherapy, 45 minutes with patient — https://www.med-reveal.com/rates/90834-cpt-fee-schedule
- 90836: Psychotherapy, 45 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90836-cpt-fee-schedule
- 90837: Psychotherapy, 60 minutes with patient — https://www.med-reveal.com/rates/90837-cpt-fee-schedule
- 90838: Psychotherapy, 60 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90838-cpt-fee-schedule
- 90845: Psychoanalysis — https://www.med-reveal.com/rates/90845-cpt-fee-schedule
- 90880: Hypnotherapy — https://www.med-reveal.com/rates/90880-cpt-fee-schedule

Commercial negotiated rates for 90833 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules