Payer rate profile
Blue Cross Blue Shield of Texas
Rate distribution profile across 1 state — derived from CMS Transparency in Coverage MRF data, 40,845 provider rate observations.
States with data
Texas
Provider observations
40,845
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
5★Moderate spread (IQR/P50 12%) — meaningful variation between the 25th and 75th percentile positions.
n=23,016 provider observations · exact percentile dollars in full report
Texas · CPT 90837 · Licensed Psychologists
4★Moderate spread (IQR/P50 11%) — meaningful variation between the 25th and 75th percentile positions.
n=3,643 provider observations · exact percentile dollars in full report
Texas · CPT 90837 · Psychiatric Nurse Practitioners
3★Wide spread (IQR/P50 58%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=10,495 provider observations · exact percentile dollars in full report
Texas · CPT 90837 · Psychiatrists
3★Wide spread (IQR/P50 40%) — substantial variation between network positions; rate outcome depends heavily on which network tier applies.
n=3,691 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
Moderate on one or more buckets — see per-report detail
States covered
Texas
Provider observations
40,845 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 →