Texas
BCBS Texas fee schedule 2026, by CPT code.
What BCBS Texas’s own published files say it pays, and the rate it lists for your practice, free by NPI.
Typical published BCBS Texas rates, September 2026 files
| Code | Visit | Middle rate | Middle half |
|---|---|---|---|
| 99213 | Office visit, established patient, 20–29 min | $61.95 | $44.25–$69.03 |
| 99214 | Office visit, established patient, 30–39 min | $90.75 | $64.83–$100.87 |
| 99215 | Office visit, established patient, 40–54 min | $121.18 | $86.57–$135.04 |
| 99212 | Office visit, established patient, 10–19 min | $37.49 | $29.02–$42.22 |
| 99203 | Office visit, new patient, 30–44 min | $91.21 | $65.41–$91.56 |
| 99204 | Office visit, new patient, 45–59 min | $136.65 | $98.02–$137.21 |
| 90791 | Psychiatric diagnostic evaluation | $140.20 | $112.00–$150.57 |
| 90834 | Psychotherapy, 45 min | $87.49 | $62.50–$93.96 |
| 90837 | Psychotherapy, 60 min | $129.60 | $104.75–$139.19 |
6 more codes
| 99212 | $37.49 | $29.02–$42.22 |
| 99203 | $91.21 | $65.41–$91.56 |
| 99204 | $136.65 | $98.02–$137.21 |
| 90791 | $140.20 | $112.00–$150.57 |
| 90834 | $87.49 | $62.50–$93.96 |
| 90837 | $129.60 | $104.75–$139.19 |
Middle of the rates BCBS Texas published for each code in its September 2026 files. Your contracted rate may be higher or lower. Source: BCBS Texas’s machine-readable files. How these are counted.
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Inside BCBS Texas’s files
What BCBS Texas publishes, and how we count it.
Published by BCBS Texas under the federal Transparency in Coverage rule.
The typical rates at the top of this page are in-office professional rates across the provider groups in BCBS Texas’s files (as of September 2026) that carry one rate for the code — 307,595 for 99213. The middle rate is the one in the middle of those groups; half are paid within the “middle half” range. A group in two networks counts once in each. Your own contract can sit inside or outside that range, which is why the figure that matters is yours: look it up.
One code at a time: BCBS Texas 99214 rate · BCBS Texas 99213 rate · BCBS Texas 90837 rate
How BCBS Texas compares with six other payers for office visits, September 2026 files: Same code, different pay.
What you get
The number, and everything behind it.
The exact dollar BCBS Texas negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which BCBS Texas network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, BCBS Texas becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is BCBS Texas paying you what it published?
Upload your allowed amounts by code and see which ones BCBS Texas allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleBCBS Texas next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Your state
All the payers we read in Texas.
Why BCBS Texas has its own fee schedule, and what BlueCard means for out-of-state Blue patients: there is no single Blue Cross Blue Shield fee schedule →
Questions about BCBS Texas’s rates or your contract? Ask us →