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Washington Behavioral Health Reimbursement Rates

Washington behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.

Medicare 90837

$175.35

Medicaid 90837

$147.29

Commercial (est.)

$140.00$170.00

Medicare Locality Rates — CPT 90837

GPCI-adjusted Medicare psychotherapy rates by county and metro locality in Washington.

LocalityMedicare 90837vs National
Seattle / King County$187.04+12%
Washington Rest of State$163.66-2%

Key CPT Code Rates — Washington

CPT 90791

Diagnostic Evaluation

Medicare: $182.02

Medicaid: $152.89

CPT 90832

Psychotherapy, 30 min

Medicare: $90.13

Medicaid: $75.71

CPT 90834

Psychotherapy, 45 min

Medicare: $119.60

Medicaid: $100.46

CPT 90837

Psychotherapy, 60 min

Medicare: $175.35

Medicaid: $147.29

Medicaid in Washington

Washington 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: Washington Medicaid fee schedule (effective 2026-01-01).

Explore Washington Rates

Use the interactive explorer below — pre-loaded for Washington.

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