North Carolina Medicaid Behavioral Health Fee Schedule 2025

North Carolina Medicaid publishes 24 behavioral health procedure rates effective 2025, paying a median 63.3% of the national Medicare amount for the same services. This page shows published rates for common behavioral health procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

The Rates plan

$29/mo7-day free trial

The table on this page is a common-procedure sample. The full North Carolina behavioral health schedule has 24 codes.

  • Every code on all 51 published schedules
  • Full-schedule CSV export
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
Start 7-day free trial

$29/mo after the trial. Cancel anytime.

Published codes

24

Behavioral Health procedures on the 2025 schedule

Median % of Medicare

63.3%

vs national Medicare, GPCI-neutral

Effective vintage

2025

latest effective year on the schedule

Common behavioral health procedures and what North Carolina Medicaid pays

A curated sample of recognizable procedures from the 24-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureNorth Carolina rate% of Medicare
90791Psychiatric diagnostic evaluation, no medical services$121.6370.2%
90792Psychiatric diagnostic evaluation with medical services$101.4450.2%
90832Psychotherapy, 30 minutes$50.6759%
90833Psychotherapy, 30 minutes, added to an E&M visit$33.8641.5%
90834Psychotherapy, 45 minutes$65.8157.8%
90836Psychotherapy, 45 minutes, added to an E&M visit$55.0253.3%
90837Psychotherapy, 60 minutes$96.4457.7%
90838Psychotherapy, 60 minutes, added to an E&M visit$88.8465%
90839Psychotherapy for crisis, first 60 minutes$121.5275.8%
90840Psychotherapy for crisis, each added 30 minutes$102.31132.6%
90846Family psychotherapy without the patient, 50 minutes$71.5067.5%
90847Family psychotherapy with the patient, 50 minutes$88.7881%
90849Multiple-family group psychotherapy$26.6365.9%
90853Group psychotherapy$25.3183.3%
90870Electroconvulsive therapy (ECT)$109.9460.4%
H0004Behavioral health counseling and therapy, per 15 minutes$19.81--
H0031Mental health assessment, by non-physician$19.22--

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More North Carolina Medicaid fee schedules

Behavioral Health rates in neighboring states

Frequently asked questions

What does North Carolina Medicaid pay for behavioral health services?

North Carolina Medicaid publishes 24 behavioral health procedure rates effective 2025, paying a median 63.3% of the national Medicare amount for the same services. The schedule covers psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do North Carolina's behavioral health rates compare with Medicare?

Across behavioral health codes with a national Medicare comparator, North Carolina Medicaid pays a median 63.3% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do behavioral health services need prior authorization in North Carolina?

North Carolina does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from North Carolina's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time North Carolina changes these rates.