# CPT 90845: Psychoanalysis

Medicare CPT 90845 pays $109.22 in a non-facility setting and $88.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.66 in Arkansas to $150.50 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90845-cpt-fee-schedule
Section: Behavioral Health
Billed by: Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $109.22 |
| National facility | $88.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $150.50 | $128.09 |
| District of Columbia | $118.64 | $93.85 |
| New Jersey | $116.96 | $93.26 |
| New York | $116.71 | $93.23 |
| California | $116.56 | $91.66 |
| Washington | $115.35 | $91.36 |
| Massachusetts | $114.72 | $91.08 |
| Connecticut | $113.24 | $90.58 |
| Hawaii | $112.46 | $88.53 |
| Colorado | $111.66 | $89.28 |
| Maryland | $111.55 | $89.61 |
| Rhode Island | $111.51 | $89.78 |
| Oregon | $110.98 | $88.81 |
| Florida | $110.58 | $89.47 |
| New Hampshire | $110.19 | $88.29 |
| Illinois | $109.78 | $89.45 |
| Puerto Rico | $109.51 | $88.23 |
| Virgin Islands | $109.51 | $88.23 |
| Pennsylvania | $109.47 | $88.86 |
| Montana | $109.22 | $88.18 |
| Delaware | $109.15 | $88.36 |
| Texas | $109.14 | $88.42 |
| Minnesota | $109.08 | $87.43 |
| Nevada | $109.03 | $87.96 |
| Wyoming | $108.87 | $87.83 |
| North Dakota | $108.43 | $87.38 |
| Virginia | $108.36 | $87.67 |
| Georgia | $108.33 | $88.25 |
| South Dakota | $108.33 | $87.29 |
| Vermont | $108.28 | $87.45 |
| Arizona | $108.17 | $87.78 |
| Michigan | $108.08 | $88.32 |
| Maine | $107.49 | $87.39 |
| Utah | $107.42 | $87.64 |
| New Mexico | $107.19 | $87.89 |
| Wisconsin | $107.13 | $86.97 |
| Missouri | $106.92 | $87.61 |
| South Carolina | $106.91 | $87.47 |
| Louisiana | $106.88 | $87.66 |
| North Carolina | $106.88 | $87.25 |
| Ohio | $106.82 | $87.61 |
| Indiana | $106.51 | $87.00 |
| Idaho | $106.30 | $86.94 |
| Nebraska | $106.26 | $86.83 |
| West Virginia | $106.17 | $87.88 |
| Tennessee | $106.08 | $86.95 |
| Iowa | $106.06 | $86.80 |
| Kentucky | $106.03 | $87.32 |
| Oklahoma | $105.96 | $87.17 |
| Kansas | $105.90 | $86.87 |
| Alabama | $105.18 | $86.76 |
| Mississippi | $105.02 | $86.90 |
| Arkansas | $104.66 | $86.59 |

## 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
- 90838: Psychotherapy, 60 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90838-cpt-fee-schedule
- 90880: Hypnotherapy — https://www.med-reveal.com/rates/90880-cpt-fee-schedule

Commercial negotiated rates for 90845 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