# CPT 90834: Psychotherapy, 45 minutes with patient

Medicare CPT 90834 pays $113.90 in a non-facility setting and $91.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $109.66 in Arkansas to $158.15 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90834-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $113.90 |
| National facility | $91.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $158.15 | $134.67 |
| District of Columbia | $123.52 | $97.56 |
| New Jersey | $121.85 | $97.03 |
| California | $121.73 | $95.65 |
| New York | $121.39 | $96.80 |
| Washington | $120.33 | $95.20 |
| Massachusetts | $119.66 | $94.89 |
| Connecticut | $117.88 | $94.14 |
| Hawaii | $117.41 | $92.35 |
| Colorado | $116.55 | $93.10 |
| Rhode Island | $116.36 | $93.59 |
| Maryland | $116.24 | $93.26 |
| Oregon | $115.88 | $92.66 |
| New Hampshire | $114.95 | $92.00 |
| Florida | $114.62 | $92.51 |
| Minnesota | $114.23 | $91.55 |
| Puerto Rico | $114.19 | $91.90 |
| Virgin Islands | $114.19 | $91.90 |
| Pennsylvania | $114.15 | $92.55 |
| Delaware | $113.92 | $92.14 |
| Montana | $113.90 | $91.85 |
| Texas | $113.89 | $92.19 |
| Illinois | $113.87 | $92.57 |
| Nevada | $113.81 | $91.75 |
| Wyoming | $113.72 | $91.68 |
| North Dakota | $113.50 | $91.46 |
| South Dakota | $113.45 | $91.41 |
| Vermont | $113.29 | $91.47 |
| Virginia | $113.23 | $91.56 |
| Arizona | $112.94 | $91.58 |
| Georgia | $112.88 | $91.85 |
| Michigan | $112.48 | $91.78 |
| Maine | $112.42 | $91.35 |
| Wisconsin | $112.27 | $91.15 |
| Utah | $112.17 | $91.44 |
| North Carolina | $111.80 | $91.23 |
| New Mexico | $111.73 | $91.52 |
| South Carolina | $111.69 | $91.32 |
| Missouri | $111.60 | $91.37 |
| Indiana | $111.53 | $91.09 |
| Louisiana | $111.52 | $91.39 |
| Ohio | $111.49 | $91.36 |
| Nebraska | $111.35 | $91.00 |
| Idaho | $111.33 | $91.05 |
| Iowa | $111.14 | $90.97 |
| Tennessee | $111.07 | $91.03 |
| Kansas | $110.90 | $90.98 |
| Oklahoma | $110.78 | $91.10 |
| Kentucky | $110.76 | $91.17 |
| West Virginia | $110.55 | $91.40 |
| Alabama | $110.14 | $90.85 |
| Mississippi | $109.87 | $90.89 |
| Arkansas | $109.66 | $90.73 |

## 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
- 90833: Psychotherapy, 30 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90833-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 90834 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