Payer rate profile
Aetna
Rate distribution profile across 13 states — derived from CMS Transparency in Coverage MRF data, 1,228,711 provider rate observations.
States with data
Arizona, California, Florida, Georgia, Illinois, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, Virginia
Provider observations
1,228,711
April 2026 vintage
Distribution width
Moderate spread
IQR / P50 ratio — rate-dispersion shape
Psychologist premium
Observed
Exact delta in report
Rate Distribution Profile
How rates spread across the network
Texas · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 28%) — meaningful variation between the 25th and 75th percentile positions.
n=94,244 provider observations · exact percentile dollars in full report
Texas · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 27%) — meaningful variation between the 25th and 75th percentile positions.
n=9,185 provider observations · exact percentile dollars in full report
California · CPT 90837 · Licensed Therapists
4★Wide spread (IQR/P50 32%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=233,557 provider observations · exact percentile dollars in full report
California · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 30%) — meaningful variation between the 25th and 75th percentile positions.
n=26,345 provider observations · exact percentile dollars in full report
New York · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 29%) — meaningful variation between the 25th and 75th percentile positions.
n=139,589 provider observations · exact percentile dollars in full report
New York · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 30%) — meaningful variation between the 25th and 75th percentile positions.
n=21,741 provider observations · exact percentile dollars in full report
Florida · CPT 90837 · Licensed Therapists
4★Wide spread (IQR/P50 37%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=139,193 provider observations · exact percentile dollars in full report
Florida · CPT 90837 · Licensed Psychologists
4★Wide spread (IQR/P50 41%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=12,829 provider observations · exact percentile dollars in full report
Pennsylvania · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 25%) — meaningful variation between the 25th and 75th percentile positions.
n=40,719 provider observations · exact percentile dollars in full report
Pennsylvania · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 28%) — meaningful variation between the 25th and 75th percentile positions.
n=9,319 provider observations · exact percentile dollars in full report
Illinois · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 25%) — meaningful variation between the 25th and 75th percentile positions.
n=79,967 provider observations · exact percentile dollars in full report
Illinois · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 28%) — meaningful variation between the 25th and 75th percentile positions.
n=15,402 provider observations · exact percentile dollars in full report
Ohio · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 28%) — meaningful variation between the 25th and 75th percentile positions.
n=59,320 provider observations · exact percentile dollars in full report
Georgia · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 30%) — meaningful variation between the 25th and 75th percentile positions.
n=29,881 provider observations · exact percentile dollars in full report
Georgia · CPT 90837 · Licensed Psychologists
3★Wide spread (IQR/P50 34%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=2,762 provider observations · exact percentile dollars in full report
North Carolina · CPT 90837 · Licensed Therapists
4★Wide spread (IQR/P50 31%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=83,203 provider observations · exact percentile dollars in full report
North Carolina · CPT 90837 · Licensed Psychologists
4★Wide spread (IQR/P50 30%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=5,557 provider observations · exact percentile dollars in full report
Michigan · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 18%) — meaningful variation between the 25th and 75th percentile positions.
n=60,030 provider observations · exact percentile dollars in full report
Michigan · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 21%) — meaningful variation between the 25th and 75th percentile positions.
n=14,157 provider observations · exact percentile dollars in full report
New Jersey · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 26%) — meaningful variation between the 25th and 75th percentile positions.
n=58,141 provider observations · exact percentile dollars in full report
New Jersey · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 25%) — meaningful variation between the 25th and 75th percentile positions.
n=6,746 provider observations · exact percentile dollars in full report
Virginia · CPT 90837 · Licensed Therapists
4★Moderate spread (IQR/P50 29%) — meaningful variation between the 25th and 75th percentile positions.
n=48,172 provider observations · exact percentile dollars in full report
Virginia · CPT 90837 · Licensed Psychologists
4★Wide spread (IQR/P50 36%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=6,582 provider observations · exact percentile dollars in full report
Arizona · CPT 90837 · Licensed Therapists
4★Wide spread (IQR/P50 37%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=27,635 provider observations · exact percentile dollars in full report
Arizona · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 28%) — meaningful variation between the 25th and 75th percentile positions.
n=4,435 provider observations · exact percentile dollars in full report
Credential Premium
Psychologist vs. master’s-level delta
Observed P50 difference between Licensed Psychologists and Master’s-Level Therapists for CPT 90837 in Texas. Sourced from CMS TiC MRF data.
A per-session psychologist premium is present and measurable for this payer in Texas (CPT 90837). The exact dollar delta, credential-level P10–P90, and sample-weighted confidence are available in the full rate report.
Data Quality
Confidence and coverage
Confidence rating
High — all credential buckets
States covered
Arizona, California, Florida, Georgia, Illinois, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, Virginia
Provider observations
1,228,711 across all reports
Data source
CMS Transparency in Coverage Machine-Readable Files (§ 147.210)
Vintage
April 2026
Methodology
All rate observations are sourced from CMS Transparency in Coverage MRFs under 45 CFR § 147.210. Distribution metrics (P10–P90, IQR/P50 ratio) are computed from pooled statewide commercial fee-for-service claims for outpatient psychotherapy. Characterizations such as “narrow” or “wide” distribution reflect statistical thresholds (IQR/P50 < 0.10 = narrow, 0.10–0.30 = moderate, > 0.30 = wide), not editorial judgments. Full methodology →