# CPT 90838: Psychotherapy, 60 minutes with patient, add-on to E/M service

Medicare CPT 90838 pays $136.61 in a non-facility setting and $110.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.44 in Arkansas to $184.98 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/90838-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $136.61 |
| National facility | $110.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $184.98 | $156.88 |
| District of Columbia | $148.82 | $117.74 |
| New York | $146.87 | $117.43 |
| New Jersey | $146.53 | $116.82 |
| California | $144.99 | $113.77 |
| Washington | $143.97 | $113.88 |
| Massachusetts | $143.29 | $113.64 |
| Connecticut | $142.22 | $113.80 |
| Florida | $140.53 | $114.05 |
| Hawaii | $140.00 | $110.00 |
| Maryland | $139.74 | $112.23 |
| Illinois | $139.34 | $113.85 |
| Colorado | $139.25 | $111.18 |
| Rhode Island | $139.22 | $111.96 |
| Oregon | $138.25 | $110.45 |
| New Hampshire | $137.63 | $110.16 |
| Pennsylvania | $136.99 | $111.14 |
| Puerto Rico | $136.96 | $110.28 |
| Virgin Islands | $136.96 | $110.28 |
| Montana | $136.60 | $110.21 |
| Texas | $136.27 | $110.30 |
| Delaware | $136.24 | $110.17 |
| Michigan | $135.98 | $111.21 |
| Nevada | $135.98 | $109.56 |
| Georgia | $135.84 | $110.67 |
| Wyoming | $135.57 | $109.18 |
| Arizona | $134.88 | $109.31 |
| Minnesota | $134.86 | $107.71 |
| Virginia | $134.80 | $108.86 |
| New Mexico | $134.34 | $110.14 |
| Vermont | $134.26 | $108.14 |
| North Dakota | $134.23 | $107.84 |
| Utah | $133.98 | $109.17 |
| South Dakota | $133.95 | $107.56 |
| Louisiana | $133.57 | $109.49 |
| Missouri | $133.50 | $109.28 |
| West Virginia | $133.48 | $110.55 |
| Maine | $133.47 | $108.25 |
| Ohio | $133.42 | $109.33 |
| South Carolina | $133.19 | $108.81 |
| North Carolina | $132.68 | $108.06 |
| Wisconsin | $132.28 | $107.00 |
| Kentucky | $132.15 | $108.70 |
| Indiana | $131.84 | $107.38 |
| Oklahoma | $131.75 | $108.19 |
| Idaho | $131.53 | $107.26 |
| Tennessee | $131.38 | $107.39 |
| Nebraska | $131.26 | $106.91 |
| Kansas | $131.06 | $107.21 |
| Iowa | $131.04 | $106.90 |
| Mississippi | $130.41 | $107.69 |
| Alabama | $130.24 | $107.15 |
| Arkansas | $129.44 | $106.77 |

## 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
- 90833: Psychotherapy, 30 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90833-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
- 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 90838 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