Specialty rate rollup
Behavioral Health
Psychiatric diagnostic evaluation and psychotherapy by session length — the core behavioral-health billing codes.
Current national rates
Q1 2026 releaseNon-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.
| Code | Status | National amount | Change |
|---|---|---|---|
| 99213 Established Patient Office Visit, Level 3 | Active | $95.19 | +7.0% |
| 90791 Psychiatric Diagnostic Evaluation | Active | $173.35 | +3.9% |
| 90832 Individual Psychotherapy, 30 Minutes | Active | $85.84 | +8.8% |
| 90834 Psychotherapy, 45 Minutes | Active | $113.90 | +9.4% |
| 90837 Psychotherapy, 60 Minutes | Active | $167.00 | +8.2% |
| 90853 Group Psychotherapy | Active | $30.39 | +8.0% |
Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.
These amounts shift with where you practice — local GPCIs move most of them a few percent either way. Browse Medicare payment localities or look up yours by ZIP code.
Model Behavioral Health's blended payer mix
Blended-rate modeling across a specialty's payer mix isn't built yet — it's on the roadmap, and how loudly behavioral health asks for it is part of what decides when.
Get notified when Behavioral Health rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Behavioral Health.
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Source & method
National amounts computed from the CMS Medicare Physician Fee Schedule Q1 2026 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.