How much does Blue Cross Blue Shield Pay Counselors and Psychologists?

Life CoachingBlue Cross Blue Shield (BCBS),  is often thought to be one of the best-paying insurance companies. For example, throughout the state of Massachusetts, reimbursement rates are as follows. For your reference, the CPT codes for the most common behavioral health services are defined below.

BCBS: Psychologist Reimbursement Rates

90801 – $153.60  (90801 = diagnostic Evaluation)

90806 – $90.05 (90806 = 45-50 minute psychotherapy session)

90847 – $105.69 (90847 = family therapy with patient present / couples counseling)

90846 – $84.33 (90846 = family therapy without patient present)

BCBS: Masters (LICSW, LMFT, LMHC)

90801 – $123.09

90806 – $72.14

90847 – $84.67

90846 – $67.56

2 COMMENTS
  1. Jane Howard / 19 Nov, 2012 - Reply

    Hello! I am a master’s level licensed psychologist in Minnesota and am re-opening a private practice I had several years ago. I am having trouble finding out how much Blue Cross is reimbursing therapists for the 90806 code. I think Minnesota is one of the few (or the only) state to license psychologists at the master’s level. Five years ago, Blue Cross paid me over $90 for individual therapy sessions (90806). I am wondering how long ago you posted the rates on this website and if you have updated information you would share with me. Blue Cross will not tell me what they would pay because they say all rates are negotiable. Thank you for whatever help you could provide!

  2. suresh / 06 Dec, 2012 - Reply

    Hello,

    The simplest way to find rates for no-contractual providers (IPAs and groups that formed and negotiated separately) is to call or check online BCBS provider home. They have a search page for entered code, they will provide the rate (current rate as of that date, typiucally changed yearly) or there is alwasy a bog PDF file you can download that has ALL rates. IT varies by state.

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