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Based on public Medicaid payment data.

Average Medicaid Psychiatric Evaluation Payments

Typical Medicaid Psychiatric Evaluation reimbursement across 10,180 cities

Avg. Medicaid Paid

$79.46

Price Range

$0.00 – $861.78

Total Claims

359.1M

Cities

10180

Typical Payment Range

Typical Medicaid Psychiatric Evaluation payments fall between $44.37 and $97.13 per claim (median: $73.35). The top 10% of payments exceed $130.02.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

Psychiatric evaluations assess mental health conditions through clinical interviews, observation, and sometimes psychological testing.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” 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
Mammoth Lakes, CA $58.44 $0.00 – $267.81 11,409 4
Livermore, CA $60.24 $0.00 – $170.00 11,413 10
Greendale, IN $52.84 $28.00 – $72.37 11,414 6
Luquillo, PR $4.73 $0.76 – $19.43 11,415 2
Pounding Mill, VA $83.45 $28.19 – $90.01 11,424 6
Williams Bay, WI $53.13 $21.61 – $101.63 11,437 9
Monona, WI $61.67 $6.37 – $101.46 11,437 18
Studio City, CA $69.06 $10.87 – $201.72 11,438 12
Patton, CA $98.39 $0.00 – $184.66 11,440 14
Brinkley, AR $62.83 $52.41 – $91.85 11,440 4
Richland, MS $26.97 $26.97 – $26.97 11,451 1
Geneva, NE $103.82 $91.07 – $170.63 11,452 5
Onalaska, WI $66.73 $23.52 – $125.04 11,453 28
Castro Valley, CA $38.97 $0.00 – $401.37 11,457 8
Superior, MT $75.38 $70.01 – $100.30 11,477 5
Hartsville, SC $117.73 $45.90 – $243.98 11,480 15
Pontotoc, MS $131.58 $69.94 – $132.01 11,488 2
Iron Mountain, MI $77.45 $25.74 – $200.09 11,499 12
Dumont, NJ $84.12 $84.12 – $84.12 11,503 1
Brunswick, OH $43.68 $23.07 – $94.72 11,504 11
Sigourney, IA $56.93 $0.00 – $61.75 11,508 4
Ardmore, OK $61.10 $6.05 – $427.00 11,514 12
Placentia, CA $87.61 $0.00 – $146.33 11,518 11
Pella, IA $62.89 $44.24 – $104.83 11,521 11
Taylorsville, NC $59.10 $31.86 – $109.76 11,521 14
Pinehurst, NC $62.42 $22.56 – $166.70 11,555 23
Fairlee, VT $29.40 $25.28 – $92.02 11,555 2
South Holland, IL $64.74 $0.00 – $114.33 11,565 13
Andover, KS $84.18 $60.83 – $102.88 11,577 14
Bristol, VA $73.86 $21.84 – $104.58 11,579 17
Mount Vernon, GA $79.14 $79.14 – $79.14 11,586 1
Altamont, NY $105.95 $105.95 – $105.95 11,591 1
Ackerman, MS $141.76 $60.00 – $144.21 11,599 2
Pine Brook, NJ $44.10 $20.32 – $44.84 11,634 2
Painesville, OH $41.48 $17.65 – $177.77 11,635 17
Winter Haven, FL $66.33 $0.00 – $120.24 11,646 18
Athens, TX $46.67 $15.27 – $136.30 11,647 8
Wolcott, CT $64.02 $58.08 – $92.22 11,677 5
Center Line, MI $29.25 $8.43 – $64.62 11,688 4
Port Allen, LA $8.67 $0.00 – $20.20 11,695 7
Candler, NC $58.77 $0.00 – $79.12 11,699 10
Waupaca, WI $21.39 $14.71 – $47.11 11,707 12
Ripon, WI $36.99 $11.73 – $125.68 11,711 11
Tallapoosa, GA $50.17 $49.46 – $89.52 11,721 2
Romney, WV $57.34 $0.00 – $70.79 11,723 7
Vinton, IA $63.02 $0.00 – $90.91 11,724 6
Islip, NY $133.97 $75.73 – $165.46 11,732 3
Clinton, AR $64.27 $1.37 – $89.96 11,735 13
Mesquite, TX $64.43 $9.95 – $139.65 11,735 14
Plankinton, SD $85.56 $85.56 – $85.56 11,745 1

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code Description Avg. Paid Claims Providers
90837 Psychotherapy 60 min $94.87 127,195,989 96,636
90834 Psychotherapy 45 min $81.07 108,817,687 69,176
90832 Psychotherapy 30 min $54.28 65,774,815 51,093
90853 Group psychotherapy $36.01 35,579,531 19,408
90791 Psychiatric diagnostic eval $120.05 16,146,970 46,312
90833 Psychotherapy 30 min w/E&M $42.78 14,361,341 14,288
90847 Family psychotherapy w/patient $103.69 10,531,444 12,330
90792 Psychiatric eval w/med svcs $129.53 8,419,882 21,097
90846 Family psychotherapy w/o patient $95.45 3,081,240 4,241
90836 Psychotherapy 45 min w/E&M $65.71 1,356,089 2,515
90839 Crisis psychotherapy 1st 60 min $100.68 437,608 1,362
90838 Psychotherapy 60 min w/E&M $67.17 335,848 784
90840 Crisis psychotherapy addl 30 $59.84 44,895 221
90845 Psychoanalysis $6.74 13,021 38

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.