90791 reimbursement rate in Massachusetts by payer (2026)
The 90791 reimbursement rate in Massachusetts (Psychiatric diagnostic evaluation) ranges from $109.75 to $258.00 per unit across Medicare (CMS PFS) and UnitedHealthcare (TiC), before patient responsibility. These are Parite ranges for planning, not a guarantee of what you will be paid.
Massachusetts therapy reimbursement rates by CPT code. 90791 reimbursement rates by state. All reimbursement rates by state and CPT code.
In Massachusetts, the Medicare 90791 high of $187.15 is above the Medicare high in 46 of the other 52 jurisdictions Parite publishes.
Telehealth reimbursement by payer for 90791 in Massachusetts
| Payer | Low | High | Median | Source |
|---|---|---|---|---|
| Medicare (CMS PFS) | $177.62 | $187.15 | $182.38 | CMS PFS RVU26C non-facility |
| UnitedHealthcare (TiC) | $109.75 | $258.00 | $164.70 | UHC OHBS TiC professional outpatient (Parite) |
Source: Parite (goparite.com). Updated 2026-09-17. Labels as Parite provides them: CMS PFS RVU26C non-facility; UHC OHBS TiC professional outpatient (Parite). Not a contracted rate for your entity and not a guarantee.
90791 reimbursement rate in nearby states
Other Massachusetts codes
- 90834 reimbursement rate in Massachusetts by payer (2026), 90834 Psychotherapy, 45 min
- 90837 reimbursement rate in Massachusetts by payer (2026), 90837 Psychotherapy, 60 min
Rates are negotiated, not fixed. A rate your entity negotiated needs a contract in your entity's name, so see payer contracting for telehealth, how to own your payer contracts, behavioral health payer contracting, and rent a PC vs build your own professional corporation. Same code in other states.
Questions, answered
What is the Medicare reimbursement rate for 90791 in Massachusetts?
The Medicare reimbursement rate for 90791 in Massachusetts is $177.62 to $187.15 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the UnitedHealthcare reimbursement rate for 90791 in Massachusetts?
The UnitedHealthcare reimbursement rate for 90791 in Massachusetts is $109.75 to $258.00 per unit. These are planning ranges from Parite, not a guarantee of payment.
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