North Dakota Behavioral Health Reimbursement Rates
North Dakota behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$161.99
Medicaid 90837
$194.39
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — North Dakota
CPT 90791
Diagnostic Evaluation
Medicare: $168.15
Medicaid: $201.78
CPT 90832
Psychotherapy, 30 min
Medicare: $83.26
Medicaid: $99.92
CPT 90834
Psychotherapy, 45 min
Medicare: $110.48
Medicaid: $132.58
CPT 90837
Psychotherapy, 60 min
Medicare: $161.99
Medicaid: $194.39
Medicaid in North Dakota
North Dakota Medicaid uses a managed care model. Published estimates approximate 120% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type. North Dakota Medicaid pays above the national Medicaid average for psychotherapy services.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: North Dakota Medicaid fee schedule (effective 2026-01-01).
Explore North Dakota Rates
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