90791 reimbursement rate in New York by payer (2026)
The 90791 reimbursement rate in New York (Psychiatric diagnostic evaluation) ranges from $60.38 to $239.87 per unit across Medicaid FFS, Medicare (CMS PFS), and UnitedHealthcare (TiC), before patient responsibility. These are Parite ranges for planning, not a guarantee of what you will be paid.
New York therapy reimbursement rates by CPT code. 90791 reimbursement rates by state. All reimbursement rates by state and CPT code.
In New York, the Medicare 90791 high of $190.53 is above the Medicare high in 50 of the other 52 jurisdictions Parite publishes.
Telehealth reimbursement by payer for 90791 in New York
Medicaid reimbursement rate for 90791 in New York
| Payer | Low | High | Median | Source |
|---|---|---|---|---|
| Medicaid FFS | $60.38 | $177.67 | $177.67 | official state Medicaid FFS (Parite parse) · effective 2026-07-01 |
| Medicare (CMS PFS) | $170.93 | $190.53 | $189.15 | CMS PFS RVU26C non-facility |
| UnitedHealthcare (TiC) | $95.00 | $239.87 | $150.00 | UHC OHBS TiC professional outpatient (Parite) |
Source: Parite (goparite.com). Updated 2026-09-17. Labels as Parite provides them: official state Medicaid FFS (Parite parse); CMS PFS RVU26C non-facility; UHC OHBS TiC professional outpatient (Parite). Not a contracted rate for your entity and not a guarantee.
For 90791 in New York, the published Medicaid FFS range tops out at $177.67 and the Medicare range at $190.53.
90791 reimbursement rate in nearby states
Other New York codes
- 90834 reimbursement rate in New York by payer (2026), 90834 Psychotherapy, 45 min
- 90837 reimbursement rate in New York 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 Medicaid reimbursement rate for 90791 in New York?
The Medicaid reimbursement rate for 90791 in New York is $60.38 to $177.67 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the Medicare reimbursement rate for 90791 in New York?
The Medicare reimbursement rate for 90791 in New York is $170.93 to $190.53 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the UnitedHealthcare reimbursement rate for 90791 in New York?
The UnitedHealthcare reimbursement rate for 90791 in New York is $95.00 to $239.87 per unit. These are planning ranges from Parite, not a guarantee of payment.
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