diff --git a/litellm/integrations/otel/mappers/langfuse.py b/litellm/integrations/otel/mappers/langfuse.py
index 9aff944cff0..68860931b76 100644
--- a/litellm/integrations/otel/mappers/langfuse.py
+++ b/litellm/integrations/otel/mappers/langfuse.py
@@ -56,9 +56,13 @@ class LangfuseMapper:
         "presence_penalty": lambda rp: rp.presence_penalty,
         "seed": lambda rp: rp.seed,
     }
+    # Langfuse prices every key, and litellm's prompt/completion counts include cache and reasoning tokens
     _USAGE_FIELDS: dict[str, Callable[[LLMUsage], AttrValue | None]] = {
-        "input": lambda u: u.input_tokens,
-        "output": lambda u: u.output_tokens,
+        "input": lambda u: u.uncached_input_tokens,
+        "input_cached_tokens": lambda u: u.cache_read_input_tokens or None,
+        "input_cache_creation": lambda u: u.cache_creation_input_tokens or None,
+        "output": lambda u: u.non_reasoning_output_tokens,
+        "output_reasoning_tokens": lambda u: u.reasoning_tokens or None,
         "total": lambda u: u.total_tokens,
     }
 
diff --git a/litellm/integrations/otel/model/payloads.py b/litellm/integrations/otel/model/payloads.py
index 7e47abfb20d..c007eda7707 100644
--- a/litellm/integrations/otel/model/payloads.py
+++ b/litellm/integrations/otel/model/payloads.py
@@ -124,6 +124,20 @@ class LLMUsage:
     total_tokens: int | None = None
     cache_creation_input_tokens: int | None = None
     cache_read_input_tokens: int | None = None
+    reasoning_tokens: int | None = None
+
+    @property
+    def uncached_input_tokens(self) -> int | None:
+        if self.input_tokens is None:
+            return None
+        cached: Final = (self.cache_read_input_tokens or 0) + (self.cache_creation_input_tokens or 0)
+        return max(self.input_tokens - cached, 0)
+
+    @property
+    def non_reasoning_output_tokens(self) -> int | None:
+        if self.output_tokens is None:
+            return None
+        return max(self.output_tokens - (self.reasoning_tokens or 0), 0)
 
     @classmethod
     def from_standard_logging_payload(cls, payload: StandardLoggingPayload) -> LLMUsage:
@@ -135,6 +149,10 @@ class LLMUsage:
         prompt_details: Final[Mapping[str, object]] = (
             raw_details if isinstance(raw_details, Mapping) else MappingProxyType({})
         )
+        raw_completion_details: Final = usage_object.get("completion_tokens_details")
+        completion_details: Final[Mapping[str, object]] = (
+            raw_completion_details if isinstance(raw_completion_details, Mapping) else MappingProxyType({})
+        )
         return cls(
             input_tokens=as_int(payload.get("prompt_tokens")),
             output_tokens=as_int(payload.get("completion_tokens")),
@@ -150,6 +168,7 @@ class LLMUsage:
                 prompt_details.get("cached_tokens"),
                 usage_object.get("prompt_cache_hit_tokens"),
             ),
+            reasoning_tokens=_cache_token_value(completion_details.get("reasoning_tokens")),
         )
 
 
diff --git a/tests/unit/integrations/otel/test_otel_v2_vendor_mappers.py b/tests/unit/integrations/otel/test_otel_v2_vendor_mappers.py
index 1e2ae24a329..cdff9c960f3 100644
--- a/tests/unit/integrations/otel/test_otel_v2_vendor_mappers.py
+++ b/tests/unit/integrations/otel/test_otel_v2_vendor_mappers.py
@@ -137,6 +137,74 @@ def test_langfuse_mapper_observation_attrs():
     assert attrs["langfuse.trace.metadata.team_id"] == "t1"
 
 
+def _langfuse_usage_details(usage_object: Mapping[str, object]) -> dict[str, object]:
+    payload: Final = {
+        "call_type": "acompletion",
+        "custom_llm_provider": "openai",
+        "model": "gpt-4o",
+        "prompt_tokens": usage_object["prompt_tokens"],
+        "completion_tokens": usage_object["completion_tokens"],
+        "total_tokens": usage_object["total_tokens"],
+        "metadata": {"usage_object": usage_object},
+    }
+    attrs: Final = LangfuseMapper().map(LLMCallSpanData.from_standard_logging_payload(payload))
+    return json.loads(attrs["langfuse.observation.usage_details"])
+
+
+def test_langfuse_usage_details_split_openai_cached_and_reasoning_tokens():
+    usage: Final = _langfuse_usage_details(
+        {
+            "prompt_tokens": 100,
+            "completion_tokens": 50,
+            "total_tokens": 150,
+            "prompt_tokens_details": {"cached_tokens": 60},
+            "completion_tokens_details": {"reasoning_tokens": 30},
+        }
+    )
+    assert usage == {
+        "input": 40,
+        "input_cached_tokens": 60,
+        "output": 20,
+        "output_reasoning_tokens": 30,
+        "total": 150,
+    }
+
+
+def test_langfuse_usage_details_split_anthropic_cache_read_and_creation_tokens():
+    usage: Final = _langfuse_usage_details(
+        {
+            "prompt_tokens": 1000,
+            "completion_tokens": 40,
+            "total_tokens": 1040,
+            "cache_read_input_tokens": 800,
+            "cache_creation_input_tokens": 150,
+            "prompt_tokens_details": {"cached_tokens": 800, "cache_creation_tokens": 150},
+        }
+    )
+    assert usage == {
+        "input": 50,
+        "input_cached_tokens": 800,
+        "input_cache_creation": 150,
+        "output": 40,
+        "total": 1040,
+    }
+
+
+def test_langfuse_usage_details_omit_zero_cache_and_reasoning_counts():
+    usage: Final = _langfuse_usage_details(
+        {
+            "prompt_tokens": 12,
+            "completion_tokens": 8,
+            "total_tokens": 20,
+            "cache_read_input_tokens": 0,
+            "cache_creation_input_tokens": 0,
+            "prompt_tokens_details": {"cached_tokens": 0},
+            "completion_tokens_details": {"reasoning_tokens": 0},
+        }
+    )
+    assert usage == {"input": 12, "output": 8, "total": 20}
+
+
 def test_langfuse_mapper_names_the_trace_from_the_caller():
     named = LangfuseMapper().map(_llm_call(trace=TraceControls(name="nightly-eval")))
     assert named["langfuse.trace.name"] == "nightly-eval"