Average Medicaid Behavioral & Mental Health Therapy Payments
Typical Medicaid Behavioral & Mental Health Therapy reimbursement across 5,398 cities
Avg. Medicaid Paid
$113.38
Price Range
$-0.03 – $4,083
Total Claims
313.6M
Cities
5398
Typical Payment Range
Typical Medicaid Behavioral & Mental Health Therapy payments fall between $52.14 and $116.48 per claim (median: $79.35). The top 10% of payments exceed $178.23.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Niles, OH | $78.93 | $20.67 – $182.66 | 170,663 | 178 |
| Roslindale, MA | $146.91 | $145.59 – $213.83 | 170,360 | 3 |
| Cape Coral, FL | $93.73 | $0.00 – $591.28 | 169,897 | 58 |
| Newark, OH | $69.94 | $16.67 – $178.50 | 169,810 | 142 |
| Norwalk, CA | $148.05 | $118.57 – $212.17 | 169,362 | 6 |
| Freehold, NJ | $105.64 | $70.83 – $199.66 | 169,189 | 8 |
| Manhattan, KS | $112.71 | $0.00 – $162.06 | 168,625 | 8 |
| Lawrence, KS | $61.46 | $0.00 – $128.33 | 168,558 | 8 |
| Mount Laurel, NJ | $196.89 | $110.80 – $680.76 | 165,994 | 6 |
| Opelousas, LA | $78.97 | $0.00 – $275.02 | 165,927 | 71 |
| Ocala, FL | $64.14 | $0.00 – $840.88 | 165,908 | 83 |
| Middletown, OH | $64.75 | $0.00 – $182.85 | 165,798 | 116 |
| Tupelo, MS | $65.75 | $36.00 – $65.98 | 165,329 | 3 |
| Wisconsin Rapids, WI | $81.73 | $0.00 – $125.67 | 164,739 | 6 |
| Madison, IN | $104.89 | $104.89 – $104.89 | 164,426 | 1 |
| Helena, MT | $81.01 | $0.00 – $348.88 | 163,561 | 7 |
| North Hollywood, CA | $142.84 | $6.59 – $330.07 | 163,253 | 17 |
| Woodbury, NJ | $196.05 | $0.00 – $329.84 | 162,319 | 6 |
| Meridian, ID | $62.85 | $13.37 – $372.10 | 162,303 | 29 |
| Winter Park, FL | $66.76 | $27.54 – $696.90 | 162,127 | 44 |
| Lebanon, NH | $80.11 | $15.90 – $104.99 | 160,816 | 2 |
| Panama City, FL | $68.33 | $0.00 – $288.36 | 160,724 | 47 |
| Cerritos, CA | $298.81 | $113.65 – $1,480 | 160,657 | 10 |
| Stevens Point, WI | $106.11 | $105.03 – $115.13 | 160,260 | 2 |
| Oxnard, CA | $204.65 | $0.00 – $531.78 | 160,088 | 12 |
| Las Cruces, NM | $114.14 | $0.00 – $190.86 | 160,087 | 22 |
| Elmhurst, NY | $120.50 | $105.31 – $192.54 | 159,937 | 4 |
| Portsmouth, VA | $244.74 | $54.28 – $2,247 | 159,819 | 16 |
| Colton, CA | $210.96 | $79.05 – $485.62 | 159,374 | 11 |
| Henrico, VA | $247.31 | $99.37 – $2,316 | 158,994 | 17 |
| Warrensville Heights, OH | $109.15 | $22.76 – $191.99 | 158,914 | 60 |
| Claremont, NH | $12.67 | $12.67 – $12.67 | 158,326 | 1 |
| Norwood, MA | $118.53 | $22.09 – $339.90 | 158,058 | 4 |
| Rochester, NH | $51.57 | $20.03 – $504.94 | 157,826 | 3 |
| Worthington, MN | $156.21 | $67.07 – $158.76 | 157,769 | 3 |
| Tuscaloosa, AL | $33.37 | $19.86 – $47.73 | 157,722 | 5 |
| Augusta, ME | $170.20 | $77.57 – $294.53 | 157,636 | 11 |
| Forest Hills, NY | $108.47 | $82.63 – $235.91 | 157,499 | 6 |
| Lancaster, OH | $76.56 | $0.00 – $185.98 | 156,025 | 181 |
| Henderson, NV | $136.35 | $0.00 – $1,020 | 155,740 | 66 |
| Cambridge, OH | $91.37 | $0.00 – $211.92 | 155,089 | 112 |
| El Paso, TX | $117.57 | $0.00 – $267.64 | 154,820 | 28 |
| Jefferson, WI | $99.58 | $99.45 – $137.68 | 154,729 | 2 |
| Marion, IN | $69.94 | $55.21 – $69.98 | 154,477 | 2 |
| Morris Plains, NJ | $96.76 | $85.02 – $212.77 | 154,357 | 3 |
| New Iberia, LA | $84.00 | $0.00 – $265.92 | 154,278 | 69 |
| Manassas, VA | $164.50 | $68.59 – $494.33 | 154,206 | 8 |
| Avondale, AZ | $81.81 | $0.00 – $1,043 | 153,828 | 22 |
| Gautier, MS | $71.18 | $56.30 – $117.08 | 153,280 | 3 |
| Kalispell, MT | $63.17 | $0.00 – $364.87 | 153,027 | 11 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $108.55 | 78,677,933 | 13,968 |
| H2019 | Ther behav svc, per 15 min | $107.35 | 69,547,577 | 28,270 |
| H2014 | Skills train and dev, 15 min | $111.31 | 60,726,091 | 6,266 |
| H0036 | Comm psy face-face per 15min | $80.37 | 56,498,126 | 22,470 |
| H0032 | Mh svc plan dev by non-md | $122.09 | 20,015,725 | 13,104 |
| H2012 | Behav hlth day treat, per hr | $129.23 | 15,388,000 | 3,225 |
| H0035 | Mh partial hosp tx under 24h | $127.90 | 14,129,079 | 904 |
| H0031 | Mh health assess by non-md | $118.38 | 10,496,976 | 9,197 |
| H2020 | Ther behav svc, per diem | $165.09 | 7,996,240 | 4,688 |
| H2011 | Crisis interven svc, 15 min | $281.72 | 6,613,568 | 3,992 |
| H0037 | Comm psy sup tx pgm per diem | $183.46 | 5,103,231 | 382 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.