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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
Sun City, AZ $49.83 $4.92 – $158.91 15,687 10
Englewood, TN $32.42 $8.13 – $54.34 15,689 4
Osage Beach, MO $38.76 $0.00 – $149.67 15,691 15
Roseville, MN $115.10 $38.43 – $384.46 15,703 34
Dorado, PR $4.16 $0.00 – $17.65 15,711 9
Sylva, NC $62.08 $0.00 – $117.25 15,721 38
Morehead City, NC $72.50 $2.65 – $135.20 15,741 34
Buford, GA $97.96 $0.00 – $149.68 15,766 15
Bethel, AK $345.88 $0.00 – $934.74 15,781 9
Breaux Bridge, LA $36.31 $28.25 – $46.80 15,792 10
Westfield, MA $82.35 $1.98 – $126.98 15,810 25
West Hempstead, NY $56.29 $48.19 – $144.32 15,821 17
Somersworth, NH $19.96 $0.00 – $84.20 15,825 10
Sunrise, FL $7.32 $0.00 – $124.21 15,826 12
Coral Gables, FL $32.33 $0.00 – $99.37 15,828 13
Terryville, CT $58.81 $0.55 – $89.64 15,828 6
San Ramon, CA $83.60 $0.00 – $173.03 15,841 15
Ruleville, MS $147.90 $23.11 – $148.30 15,845 3
Porter, ME $1.30 $1.30 – $1.30 15,851 1
Easley, SC $74.55 $0.00 – $113.19 15,851 13
Carpentersville, IL $48.79 $0.11 – $90.76 15,858 2
Louisville, OH $56.27 $22.71 – $116.99 15,864 8
Holtsville, NY $45.31 $35.05 – $79.99 15,867 3
San Marcos, TX $45.33 $12.14 – $133.84 15,869 13
Saint James, NY $59.48 $25.15 – $119.46 15,884 10
Shawano, WI $26.88 $16.34 – $111.78 15,887 15
Kerman, CA $46.41 $0.00 – $367.36 15,887 7
Greensburg, LA $6.35 $0.00 – $111.70 15,900 4
Cayey, PR $21.42 $0.00 – $125.47 15,900 15
Bradley, IL $99.41 $55.58 – $137.94 15,911 10
Hartford, VT $39.42 $0.00 – $98.43 15,940 12
Quebradillas, PR $3.57 $0.30 – $5.23 15,947 7
Baker, WV $34.57 $0.00 – $81.66 15,989 8
Greenbrae, CA $120.10 $0.00 – $332.44 15,990 8
Hayward, CA $131.95 $0.00 – $426.74 15,992 35
Hebron, CT $29.68 $5.88 – $80.87 16,005 6
North Providence, RI $81.10 $19.61 – $167.75 16,028 24
Smith, KY $51.19 $51.19 – $51.19 16,029 1
Barrington, RI $53.28 $34.88 – $107.99 16,039 19
Blanding, UT $104.40 $104.40 – $104.40 16,060 1
Pembroke, MA $28.76 $11.85 – $123.05 16,060 13
Ledyard, CT $50.15 $7.14 – $94.63 16,069 5
Seneca, SC $95.91 $35.13 – $110.54 16,135 8
Mulino, OR $107.18 $107.18 – $107.18 16,142 1
Freehold, NJ $52.51 $0.00 – $182.16 16,148 21
Grundy Center, IA $64.86 $64.83 – $65.31 16,159 2
Hinsdale, IL $102.33 $0.00 – $156.38 16,170 24
Everett, MA $41.76 $1.07 – $86.81 16,183 14
Tifton, GA $65.52 $0.00 – $105.68 16,224 12
Clive, IA $77.45 $21.83 – $136.57 16,237 22

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.