The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Utah behavioral health schedule has 53 codes.
- Every code on all 51 published schedules
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Published codes
53
Behavioral Health procedures on the 2026 schedule
Median % of Medicare
77.3%
vs national Medicare, GPCI-neutral
PA required
10
codes flagged by the state
Common behavioral health procedures and what Utah Medicaid pays
A curated sample of recognizable procedures from the 53-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.
| Code | Procedure | Utah rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $43.72* | 25.2% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $43.72* | 21.6% |
| 90832 | Psychotherapy, 30 minutes | $71.69* | 83.5% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $71.69* | 88% |
| 90834 | Psychotherapy, 45 minutes | $127.95* | 112.3% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $107.53* | 104.2% |
| 90837 | Psychotherapy, 60 minutes | $159.23* | 95.3% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $143.36* | 104.9% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $143.36* | 89.4% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $71.69* | 92.9% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $35.85* | 33.9% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $35.85* | 32.7% |
| 90849 | Multiple-family group psychotherapy | $8.35* | 20.7% |
| 90853 | Group psychotherapy | $10.72* | 35.3% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $265.02* | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $125.10* | -- |
| 90870 | Electroconvulsive therapy (ECT) | $112.10* | 61.6% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $14.16* | -- |
| H0031 | Mental health assessment, by non-physician | $43.72* | -- |
| H0038 | Self-help/peer services, per 15 minutes | $21.55* | -- |
| H2019 | Therapeutic behavioral services, per 15 minutes | $28.93* | -- |
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 Utah Medicaid fee schedules
- Utah physician fee schedule · 6,362 codes
- Utah lab & imaging fee schedule · 1,885 codes
- Utah dme & supplies fee schedule · 1,646 codes
- Utah drugs fee schedule · 739 codes
- Utah other services fee schedule · 626 codes
- Utah vision fee schedule · 122 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Utah Medicaid pay for behavioral health services?
Utah Medicaid publishes 53 behavioral health procedure rates effective 2026, paying a median 77.3% 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 Utah's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Utah Medicaid pays a median 77.3% 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 Utah?
Utah publishes prior-authorization flags on its schedule: 10 behavioral health codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Utah's published Medicaid fee-for-service schedule (effective 2026), 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 Utah changes these rates.