Texas Behavioral Health Reimbursement Rates
Texas behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$165.33
Medicaid 90837
$125.65
Commercial (est.)
$140.00–$170.00
Medicare Locality Rates — CPT 90837
GPCI-adjusted Medicare psychotherapy rates by county and metro locality in Texas.
| Locality | Medicare 90837 | vs National |
|---|---|---|
| Texas Austin / Travis County | $170.34 | +2% |
| Texas Fort Worth / Tarrant County | $167.00 | +0% |
| Texas Houston / Galveston | $168.67 | +1% |
| Rest of Texas | $158.65 | -5% |
Key CPT Code Rates — Texas
CPT 90791
Diagnostic Evaluation
Medicare: $171.62
Medicaid: $130.43
CPT 90832
Psychotherapy, 30 min
Medicare: $84.98
Medicaid: $64.59
CPT 90834
Psychotherapy, 45 min
Medicare: $112.76
Medicaid: $85.70
CPT 90837
Psychotherapy, 60 min
Medicare: $165.33
Medicaid: $125.65
Medicaid in Texas
Texas Medicaid uses a managed care model. Published estimates approximate 76% 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: Texas Medicaid fee schedule (effective 2026-01-01).
Explore Texas Rates
Use the interactive explorer below — pre-loaded for Texas.