Massachusetts Behavioral Health Reimbursement Rates
Massachusetts behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$187.04
Medicaid 90837
$157.11
Commercial (est.)
$180.00–$210.00
Medicare Locality Rates — CPT 90837
GPCI-adjusted Medicare psychotherapy rates by county and metro locality in Massachusetts.
| Locality | Medicare 90837 | vs National |
|---|---|---|
| Massachusetts Metropolitan Boston | $197.06 | +18% |
| Rest of Massachusetts | $177.02 | +6% |
Key CPT Code Rates — Massachusetts
CPT 90791
Diagnostic Evaluation
Medicare: $194.15
Medicaid: $163.09
CPT 90832
Psychotherapy, 30 min
Medicare: $96.14
Medicaid: $80.76
CPT 90834
Psychotherapy, 45 min
Medicare: $127.57
Medicaid: $107.16
CPT 90837
Psychotherapy, 60 min
Medicare: $187.04
Medicaid: $157.11
Medicaid in Massachusetts
Massachusetts Medicaid uses a managed care model. Published estimates approximate 84% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: Massachusetts Medicaid fee schedule (effective 2026-01-01).
Explore Massachusetts Rates
Use the interactive explorer below — pre-loaded for Massachusetts.