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Research / Therapist Insurance Rates

Pennsylvania Therapist Insurance Rates (2026)

The median rate Aetna, Cigna, UnitedHealthcare / Optum, Horizon BCBSNJ have negotiated with Pennsylvania therapists for the most common psychotherapy codes, from each payer's own published in-network rate file. Each cell shows the median, the middle half of rates (25th to 75th percentile) and n, the number of individual providers behind it.

For licensed professional counselors (LPC, LMHC), the median for a 60 minute session (90837) runs from $94 (Cigna) to $156 (Horizon BCBSNJ).

Licensed Professional Counselors (LPC, LMHC)

CodeAetnaCignaUHC (Optum)Horizon
90837
Therapy, 60 min
$127
$127 to $136
n = 9,433
$94
$62 to $110
n = 6,646
$110
$110 to $116
n = 457
$156
$156 to $177
n = 360
90834
Therapy, 45 min
$85
$85 to $96
n = 9,312
$66
$57 to $77
n = 6,646
$75
$75 to $79
n = 460
$104
$104 to $118
n = 360
90791
Intake evaluation
$131
$131 to $146
n = 9,426
$100
$65 to $128
n = 6,646
$131
$131 to $138
n = 457
$165
$165 to $185
n = 371
90847
Family therapy, with patient
$104
$93 to $109
n = 9,185
$71
$60 to $83
n = 6,646
$92
$92 to $96
n = 460
$125
$125 to $148
n = 360

Clinical Social Workers (LCSW)

CodeAetnaCignaUHC (Optum)Horizon
90837
Therapy, 60 min
$127
$126 to $136
n = 4,813
$95
$62 to $110
n = 2,978
$110
$110 to $116
n = 339
$156
$156 to $177
n = 261
90834
Therapy, 45 min
$85
$85 to $97
n = 4,768
$66
$57 to $77
n = 2,978
$75
$75 to $79
n = 341
$104
$104 to $118
n = 261
90791
Intake evaluation
$131
$131 to $147
n = 4,794
$100
$65 to $130
n = 2,978
$131
$131 to $138
n = 339
$165
$165 to $185
n = 266
90847
Family therapy, with patient
$104
$93 to $109
n = 4,611
$71
$60 to $84
n = 2,978
$92
$92 to $96
n = 341
$125
$125 to $148
n = 261

Marriage and Family Therapists (LMFT)

CodeAetnaCignaUHC (Optum)Horizon
90837
Therapy, 60 min
$127
$125 to $136
n = 402
$95
$62 to $115
n = 224
$116
$110 to $129
n = 29
$156
$156 to $173
n = 15
90834
Therapy, 45 min
$85
$83 to $96
n = 401
$67
$57 to $79
n = 224
$79
$75 to $87
n = 29
$104
$104 to $116
n = 15
90791
Intake evaluation
$131
$128 to $146
n = 403
$105
$65 to $135
n = 224
$138
$131 to $144
n = 29
$165
$165 to $178
n = 15
90847
Family therapy, with patient
$105
$93 to $112
n = 388
$71
$60 to $86
n = 224
$93
$92 to $96
n = 29
$125
$125 to $130
n = 15

Psychologists

CodeAetnaCignaUHC (Optum)Horizon
90837
Therapy, 60 min
$127
$125 to $134
n = 1,941
$112
$79 to $140
n = 1,346
$147
$147 to $154
n = 209
$241
$178 to $241
n = 232
90834
Therapy, 45 min
$85
$83 to $93
n = 1,897
$79
$73 to $104
n = 1,346
$100
$100 to $105
n = 211
$161
$119 to $161
n = 232
90791
Intake evaluation
$131
$128 to $144
n = 1,929
$117
$75 to $159
n = 1,346
$175
$175 to $184
n = 209
$257
$187 to $257
n = 232
90847
Family therapy, with patient
$105
$93 to $105
n = 1,824
$85
$73 to $114
n = 1,346
$104
$104 to $109
n = 211
$185
$148 to $185
n = 232

Sources

  • Aetna: Aetna Life Insurance Company (PPO and open access plans), file posted October 5, 2026.
  • Cigna: Cigna national Open Access Plus network, file posted October 1, 2026.
  • UnitedHealthcare / Optum: Optum Behavioral Health (UnitedHealthcare behavioral network), file posted October 1, 2026.
  • Horizon BCBSNJ: Horizon managed care, individual and small group, file posted July 12, 2026.

Allowed amounts, including the patient's share. Rates with modifiers (such as telehealth) are excluded. Cells with fewer than 10 providers are not shown. UnitedHealthcare's behavioral network (Optum) often pays one standard rate statewide, so its range can be a single figure.

Method

Rates come from each payer's Transparency in Coverage in-network files. Clinicians are individual NPIs in the CMS NPPES registry with the license taxonomy and a Pennsylvania practice location. Each clinician counts once per code and network. Where a payer publishes several networks, the one covering the most Pennsylvania clinicians for that license and code is shown. The median is the middle negotiated rate across those clinicians, not what any one provider is paid. All states.

Frequently Asked Questions

What does insurance pay therapists in Pennsylvania for 90837?

For licensed professional counselors (LPC, LMHC) in Pennsylvania, the median published rate for 90837 (60 minute psychotherapy) was $156 at Horizon BCBSNJ, $127 at Aetna, $110 at UnitedHealthcare / Optum, $94 at Cigna, in payer files posted between July 12, 2026 and October 5, 2026. These are allowed amounts, so they include the patient's share.

Which insurer pays Pennsylvania therapists the most?

Among the payers we cover, Horizon BCBSNJ had the highest median 90837 rate for licensed professional counselors (LPC, LMHC) in Pennsylvania ($156) and Cigna the lowest ($94). The order can differ by code and license type, so check the grid for yours.

Where does this data come from?

From each payer's Transparency in Coverage in-network rate files, which federal rules require insurers to publish monthly. PECS keeps individual clinicians with a Pennsylvania practice location in the CMS NPPES registry and reports the median and the middle half of negotiated rates. It is not what any one provider is paid.

Can I negotiate a higher rate?

Often, yes. If your fee schedule is below the Pennsylvania median for your license and code, a written, code-specific request that cites the payer's own published rates is a concrete place to start.

See where your own rates sit: compare your fee schedule with these Pennsylvania rates, free and in two minutes. New to a panel? Start your credentialing with PECS.

Other states: Arizona, California, Florida, New Jersey, New York, Texas, Wisconsin.

By the PECS credentialing team. Updated October 2026.

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