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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
Clarksburg, WV $82.58 $0.00 – $126.56 14,739 14
Plantsville, CT $51.85 $7.65 – $126.27 14,749 21
Springfield, LA $6.04 $0.00 – $34.98 14,754 5
Greenbrier, AR $71.59 $39.57 – $89.86 14,760 11
Richland Center, WI $77.21 $42.43 – $113.43 14,760 10
Riviera Beach, FL $15.28 $6.30 – $140.57 14,761 5
Barrington, IL $75.44 $2.04 – $145.08 14,773 11
Shakopee, MN $82.74 $58.65 – $179.04 14,780 33
Levittown, NY $57.19 $48.25 – $91.48 14,789 7
Ibapah, UT $407.83 $407.83 – $407.83 14,791 1
West New York, NJ $1.53 $0.04 – $158.93 14,803 5
Fairmont, NC $81.47 $52.66 – $90.40 14,820 7
West Valley, UT $133.69 $82.79 – $276.67 14,831 7
Paris, KY $57.19 $0.01 – $77.73 14,849 15
Pittsford, NY $102.15 $29.45 – $187.04 14,853 18
Hamilton, NC $73.91 $73.91 – $73.91 14,856 1
Saint James, MO $28.07 $3.34 – $116.52 14,862 6
Savage, MN $93.80 $28.79 – $180.95 14,876 17
Warrenville, IL $50.97 $0.00 – $133.02 14,882 9
San German, PR $1.23 $0.00 – $67.69 14,885 10
Rye Brook, NY $56.24 $19.20 – $112.35 14,888 9
Patterson, CA $72.02 $0.00 – $121.17 14,896 6
Port Clinton, OH $70.92 $4.85 – $117.49 14,922 23
Madras, OR $95.59 $0.00 – $201.42 14,929 21
Penn Yan, NY $174.92 $47.90 – $225.21 14,933 8
Rochester, MI $75.09 $49.13 – $86.18 14,935 7
Jasper, IN $51.61 $6.68 – $91.61 14,938 19
Oceano, CA $67.94 $43.76 – $80.33 14,939 4
Gurnee, IL $92.74 $2.44 – $131.92 14,939 10
Belleville, IL $17.03 $0.00 – $224.09 14,941 17
Austell, GA $81.92 $1.79 – $87.64 14,944 4
Mt Arlington, NJ $85.89 $85.89 – $85.89 14,946 1
Portland, CT $42.63 $0.00 – $89.10 14,973 6
Monett, MO $20.23 $0.00 – $73.21 14,975 19
Kankakee, IL $104.03 $0.00 – $142.94 14,981 13
Central Islip, NY $118.43 $26.69 – $170.71 14,995 11
Summersville, WV $38.96 $0.00 – $99.65 15,000 11
West Roxbury, MA $85.67 $0.00 – $110.47 15,001 11
Uniontown, PA $47.31 $0.25 – $117.09 15,003 9
Milton, MA $84.09 $15.73 – $138.26 15,011 12
Middlefield, CT $82.77 $1.93 – $95.69 15,033 6
Oconomowoc, WI $72.95 $2.91 – $99.03 15,040 22
Mocksville, NC $59.12 $32.39 – $91.65 15,044 13
Villa Rica, GA $55.27 $0.00 – $105.65 15,064 16
Vestal, NY $47.58 $0.00 – $275.70 15,073 19
South Sioux City, NE $108.77 $0.00 – $178.48 15,084 27
Keizer, OR $120.81 $5.16 – $189.99 15,086 19
Coralville, IA $65.40 $21.70 – $272.26 15,087 25
Celestine, IN $41.27 $41.27 – $41.27 15,095 1
Claremont, CA $54.96 $0.00 – $166.83 15,100 21

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.