Wisconsin Behavioral Health Reimbursement Rates
Wisconsin behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$163.66
Medicaid 90837
$127.65
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — Wisconsin
CPT 90791
Diagnostic Evaluation
Medicare: $169.88
Medicaid: $132.51
CPT 90832
Psychotherapy, 30 min
Medicare: $84.12
Medicaid: $65.62
CPT 90834
Psychotherapy, 45 min
Medicare: $111.62
Medicaid: $87.07
CPT 90837
Psychotherapy, 60 min
Medicare: $163.66
Medicaid: $127.65
Medicaid in Wisconsin
Wisconsin Medicaid uses a managed care model. Published estimates approximate 78% 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: Wisconsin Medicaid fee schedule (effective 2026-01-01).
Explore Wisconsin Rates
Use the interactive explorer below — pre-loaded for Wisconsin.