See where BCBS Texas reported rates cluster for CPT 90837.

Built from the payer file layer published under federal law. The report shows sample size, percentile spread, and a Medicare reference before you buy.

Credential level

Data vintage: March 2026 source snapshot. Release ID and source snapshot are included in the PDF provenance block.

Rate Distribution Preview High Confidence

Median Contracted Rate — CPT 90837

$110

−15% vs Medicare ($128.25)

P10P25P50 (median)P75P90

IQR band (P25–P75)

Median

Medicare

$105

P25

$110

P50 Median

$118

P75

$118

P90

P25, P75, and P90 unlocked in the full report. Get notified →

Providers in cohort 23,069

Rate types included Negotiated · Fee Schedule

What's in the report

A frozen PDF with reproducible methodology — not a dashboard you log into, not a "score." A citable document you can use in a negotiation conversation.

Full percentile distribution

P10 through P90 for your credential level — where reported rates cluster, not just a midpoint. Includes the IQR and a note when rates bunch at discrete fee-schedule tiers.

Medicare reference anchor

Every rate is indexed against the 2025 Medicare allowable for CPT 90837 ($128.25), so you can place the benchmark against a familiar reimbursement anchor.

Credential subgroup breakdown

For master's-level reports: median by sub-credential (LCSW vs LMFT vs LPC). Shows whether your license type sits above or below the pooled line.

QA provenance and methodology

Data source, provider count, T3-T6 pipeline decisions, confidence tier, and source snapshot. Everything needed to inspect how the number was built.

Benchmark corridor graphic

A visual IQR band showing where 50% of contracted rates fall. Includes Medicare reference line and your credential median clearly marked.

Negotiation usage guide

4-step protocol for reading the percentile table, framing a counter-offer, and responding when the payer says "this is our standard rate."

Not included: your specific contracted rate (we don't have it — no one does except you and BCBS TX), individual NPI lookups, predictions about what BCBS TX will agree to, or legal advice. This is benchmark data. What you do with it is your call.

How practitioners use this report

Group practice owner

Reviews five clinicians' current BCBS Texas rates against the statewide benchmark and identifies which contracts sit near the low end of the published distribution.

Solo LCSW

Compares a current rate against the reported distribution and decides whether a review conversation is worth having with something more concrete than rumor.

Credentialing specialist

Advises a new provider on whether the panel economics look workable relative to cash-pay alternatives before signing.

Scope and limits of this report

What is controlled

✓ Single payer: BCBS Texas (Blue Choice PPO)
✓ Single CPT code: 90837 (psychotherapy, 60 min)
✓ Single state: Texas
✓ FFS rates only — negotiated and fee schedule; derived excluded
✓ One rate per NPI after canonical dedup
✓ Credential bucket by NPPES taxonomy (one bucket per provider)

What remains variable

~ Your individual contract terms with BCBS TX
~ Modifier usage (e.g., telehealth, place-of-service codes)
~ Regional sub-variation within Texas
~ Credentialing and panel status changes after March 2026
~ Whether your NPI appears in the Blue Choice PPO network file

Full limitations and methodology: ratescope.co/methodology

Get the full benchmark report

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Full percentile table (P10–P90)
Benchmark corridor graphic (PDF-ready)
Credential subgroup breakdown
Medicare comparison anchor
QA provenance block + payload hash
Negotiation usage guide
Frozen report — same file, every time
Per-clinician earnings impact table at P25, P50, and P75 rates

If the PDF does not render correctly or contains an obvious data error, email us and we'll refund within 48 hours. We do not offer refunds because the data didn't match your expectation — the methodology is published in full before you buy.

Selected credential

Master's Level (LCSW · LPC · LMFT) change

BCBS TX · 90837 · Master's Level · 2026 Q1 TX-90837-BCBSTX-MASTERS-2026Q1

n 23,069 providers Confidence High Source March 2026 Cohort TX · FFS only

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Source

BCBS Texas public payer file published under 45 CFR § 147.210, using the Blue Choice PPO snapshot relevant to this benchmark.

Provider matching

NPIs matched to NPPES March 2026 bulk dissemination file. Credential bucket assigned by taxonomy code; one provider, one bucket.

Rate inclusion (T3)

Only "negotiated" and "fee schedule" rate types. "Derived" rates excluded. One rate per NPI after dedup by (NPI, rate, expiration date). Rates below $1 excluded.

Confidence (T6)

High: n ≥ 100, IQR/median ≤ 0.50. Both cohorts in this report qualify as High confidence.

Full methodology: ratescope.co/methodology

Questions about this report

Is this my rate?

No. This is a statewide cohort benchmark — the distribution of contracted rates across all Texas therapists in BCBS TX's Blue Choice PPO network for CPT 90837. Your individual contract rate depends on your specific agreement with BCBS TX. The benchmark tells you where your rate sits relative to others and how it compares to Medicare, not what BCBS TX will offer you.

Why do the percentiles cluster at three values?

BCBS Texas uses a fee schedule structure for master's-level providers in Blue Choice PPO. Approximately 46% of providers are contracted at $104.75, 26% at $109.54, and 26% at $117.91. This is not a data quality issue — it reflects how BCBS TX structures its contracts. The psychologist cohort shows more spread (P10=$128, P90=$162).

How current is the data?

This report is built from a March 2026 source snapshot. The PDF includes the release ID and source snapshot so you can tell exactly which version you are reading.

Why is the master's median below Medicare?

The BCBS TX master's-level median for CPT 90837 ($109.54) sits about 15% below the 2025 Medicare allowable ($128.25). This is consistent with UHC — commercial behavioral health payers in Texas often contract below Medicare for master's-level providers. The psychologist cohort ($132.37 median) runs about 3% above Medicare for the same code.

Can I use this in a negotiation with BCBS TX?

Yes. The report gives you a documented benchmark with a visible methodology. It will not tell you what BCBS Texas must do, but it does give you a more credible starting point than hearsay or a generic state average.

Is this legal to publish?

Yes. The data originates from BCBS TX's publicly-required Machine-Readable Files under 45 CFR § 147.210 (Transparency in Coverage rule). CMS explicitly authorizes third-party aggregation, analysis, and republication of MRF data. We publish aggregate statistics only — not individual provider rate lookup.

How does this compare to the UHC report?

The two payer reports are useful for side-by-side panel evaluation. UHC and BCBS Texas look similar at the master's-level median, while the psychologist distribution is flatter in UHC and more spread out in BCBS Texas.

Who buys this?

Group practice owners use it for panel management decisions across multiple clinicians. Solo therapists use it to evaluate whether their current BCBS TX rate is competitive before renewal. Credentialing specialists use it as a reference when advising providers on new panel decisions.

What is your refund policy?

If the PDF does not render correctly or contains an obvious data error, email us within 48 hours and we'll refund in full. We do not offer refunds because the data didn't match your expectation — the methodology, scope, and sample size are published in full before you buy.