# CPT 90846: Family psychotherapy, without patient present

Medicare CPT 90846 pays $105.88 in a non-facility setting and $99.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $103.51 in Arkansas to $152.06 in Alaska, a 47% spread.

Web page: https://www.med-reveal.com/rates/90846-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $105.88 |
| National facility | $99.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $152.06 | $144.94 |
| District of Columbia | $113.31 | $105.44 |
| New Jersey | $112.36 | $104.84 |
| New York | $112.12 | $104.67 |
| California | $111.15 | $103.24 |
| Washington | $110.43 | $102.81 |
| Massachusetts | $109.98 | $102.48 |
| Connecticut | $108.95 | $101.76 |
| Rhode Island | $107.95 | $101.05 |
| Maryland | $107.72 | $100.75 |
| Colorado | $107.61 | $100.51 |
| Hawaii | $107.29 | $99.69 |
| Oregon | $107.05 | $100.02 |
| Florida | $106.87 | $100.17 |
| Illinois | $106.67 | $100.21 |
| Pennsylvania | $106.50 | $99.96 |
| New Hampshire | $106.30 | $99.35 |
| Texas | $106.11 | $99.53 |
| Delaware | $106.08 | $99.48 |
| Puerto Rico | $106.01 | $99.26 |
| Virgin Islands | $106.01 | $99.26 |
| Montana | $105.88 | $99.20 |
| Nevada | $105.73 | $99.04 |
| Wyoming | $105.62 | $98.94 |
| Georgia | $105.60 | $99.23 |
| Minnesota | $105.56 | $98.69 |
| Michigan | $105.48 | $99.20 |
| Virginia | $105.36 | $98.79 |
| Arizona | $105.32 | $98.85 |
| North Dakota | $105.29 | $98.61 |
| Vermont | $105.25 | $98.64 |
| South Dakota | $105.22 | $98.54 |
| Utah | $104.98 | $98.70 |
| New Mexico | $104.97 | $98.85 |
| Maine | $104.91 | $98.53 |
| Louisiana | $104.77 | $98.67 |
| Missouri | $104.76 | $98.63 |
| Ohio | $104.73 | $98.63 |
| South Carolina | $104.72 | $98.54 |
| Wisconsin | $104.63 | $98.23 |
| North Carolina | $104.62 | $98.39 |
| West Virginia | $104.56 | $98.76 |
| Indiana | $104.39 | $98.20 |
| Kentucky | $104.31 | $98.37 |
| Idaho | $104.28 | $98.14 |
| Nebraska | $104.23 | $98.06 |
| Oklahoma | $104.23 | $98.26 |
| Tennessee | $104.20 | $98.13 |
| Iowa | $104.14 | $98.03 |
| Kansas | $104.10 | $98.06 |
| Alabama | $103.78 | $97.93 |
| Mississippi | $103.76 | $98.01 |
| Arkansas | $103.51 | $97.77 |

## Related codes

- 90847: Family psychotherapy, with patient present — https://www.med-reveal.com/rates/90847-cpt-fee-schedule
- 90849: Multiple-family group psychotherapy — https://www.med-reveal.com/rates/90849-cpt-fee-schedule
- T1006: Alcohol/substance abuse services, family/couple counseling — https://www.med-reveal.com/rates/T1006-hcpcs-fee-schedule

Commercial negotiated rates for 90846 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