90791 reimbursement rate in Pennsylvania by payer (2026)
The 90791 reimbursement rate in Pennsylvania (Psychiatric diagnostic evaluation) ranges from $95.00 to $234.25 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.
Pennsylvania therapy reimbursement rates by CPT code. 90791 reimbursement rates by state. All reimbursement rates by state and CPT code.
In Pennsylvania, the Medicare 90791 high of $177.61 is above the Medicare high in 41 of the other 52 jurisdictions Parite publishes.
Telehealth reimbursement by payer for 90791 in Pennsylvania
| Payer | Low | High | Median | Source |
|---|---|---|---|---|
| Medicare (CMS PFS) | $169.67 | $177.61 | $173.64 | CMS PFS RVU26C non-facility |
| UnitedHealthcare (TiC) | $95.00 | $234.25 | $156.06 | 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
- 90791 reimbursement rate in Delaware by payer (2026)
- 90791 reimbursement rate in Maryland by payer (2026)
- 90791 reimbursement rate in New Jersey by payer (2026)
- 90791 reimbursement rate in New York by payer (2026)
- 90791 reimbursement rate in Ohio by payer (2026)
- 90791 reimbursement rate in West Virginia by payer (2026)
Other Pennsylvania codes
- 90834 reimbursement rate in Pennsylvania by payer (2026), 90834 Psychotherapy, 45 min
- 90837 reimbursement rate in Pennsylvania 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 Pennsylvania?
The Medicare reimbursement rate for 90791 in Pennsylvania is $169.67 to $177.61 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the UnitedHealthcare reimbursement rate for 90791 in Pennsylvania?
The UnitedHealthcare reimbursement rate for 90791 in Pennsylvania is $95.00 to $234.25 per unit. These are planning ranges from Parite, not a guarantee of payment.
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