The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90840. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
33
Median % of Medicare
83%
Rate range
$35.00 - $148.55
90840 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $148.55 | 192.5% | -- | 2026 |
| Arkansas | $104.40 | 135.3% | -- | 2026 |
| California | $62.46 | 81% | -- | 2026 |
| Colorado | $61.66 | 79.9% | -- | 2026 |
| District of Columbia | $67.01 | 86.9% | Not required | 2026 |
| Delaware | $75.60 | 98% | -- | 2026 |
| Hawaii | $64.85 | 84.1% | -- | 2025 |
| Iowa | $52.11 | 67.5% | -- | 2024 |
| Idaho | $65.02 | 84.3% | Not required | 2026 |
| Indiana | $70.39 | 91.2% | -- | 2026 |
| Kansas | $62.35 | 80.8% | -- | 2024 |
| Kentucky | $51.38 | 66.6% | -- | 2026 |
| Louisiana | $59.86 | 77.6% | -- | 2026 |
| Massachusetts | $51.45 | 66.7% | -- | 2026 |
| Maine | $54.55 | 70.7% | -- | 2026 |
| Michigan | $42.09 | 54.6% | -- | 2026 |
| Minnesota | $64.04 | 83% | Conditional | 2026 |
| Missouri | $71.17 | 92.2% | Not required | 2022 |
| Montana | $102.13 | 132.4% | -- | 2026 |
| North Carolina | $102.31 | 132.6% | -- | 2025 |
| North Dakota | $86.36 | 111.9% | Not required | 2026 |
| New Hampshire | $56.39 | 73.1% | Not required | 2026 |
| New Mexico | $35.00 | 45.4% | -- | 2026 |
| Nevada | $58.22 | 75.5% | -- | 2024 |
| Ohio | $73.92 | 95.8% | -- | 2024 |
| Oregon | $62.61* | 81.2% | -- | 2026 |
| South Carolina | $49.27 | 63.9% | -- | 2024 |
| Utah | $71.69* | 92.9% | Not required | 2026 |
| Virginia | $84.52 | 109.6% | -- | 2024 |
| Vermont | $65.03 | 84.3% | -- | 2026 |
| Wisconsin | $56.64 | 73.4% | -- | 2022 |
| West Virginia | $53.92 | 69.9% | -- | 2026 |
| Wyoming | $64.68 | 83.8% | -- | 2025 |
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 * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related behavioral health codes
- 90791 - Psychiatric diagnostic evaluation, no medical services
- 90792 - Psychiatric diagnostic evaluation with medical services
- 90832 - Psychotherapy, 30 minutes
- 90833 - Psychotherapy, 30 minutes, added to an E&M visit
- 90834 - Psychotherapy, 45 minutes
- 90836 - Psychotherapy, 45 minutes, added to an E&M visit
- 90837 - Psychotherapy, 60 minutes
- 90838 - Psychotherapy, 60 minutes, added to an E&M visit
Frequently asked questions
How much does Medicaid pay for 90840?
33 state Medicaid programs publish a fee-for-service rate for 90840 (psychotherapy for crisis, each added 30 minutes), ranging from $35.00 in New Mexico to $148.55 in Alaska, with a median of 83% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90840?
Alaska publishes the highest Medicaid rate for 90840 at $148.55 (192.5% of the national Medicare amount). New Mexico publishes the lowest at $35.00.
Does 90840 require prior authorization under Medicaid?
1 of the 33 publishing states flag 90840 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".