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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
Austin, MN $85.55 $9.48 – $132.86 17,733 24
Union City, TN $38.35 $9.73 – $85.74 17,768 11
Montpelier, VA $40.39 $40.39 – $40.39 17,770 1
Lake Geneva, WI $35.47 $8.80 – $65.22 17,777 15
Bellows Falls, VT $57.07 $0.00 – $87.78 17,787 10
Cypress Inn, TN $6.42 $6.42 – $6.42 17,795 1
Beech Grove, IN $35.73 $21.09 – $84.35 17,811 3
Clearfield, UT $78.72 $0.00 – $139.48 17,825 13
Windsor Locks, CT $60.90 $41.64 – $84.30 17,829 2
Fayetteville, GA $84.59 $21.36 – $198.50 17,840 19
Lockhart, TX $35.56 $0.67 – $91.30 17,842 8
Norcross, GA $81.97 $41.22 – $99.53 17,842 9
Elmsford, NY $87.71 $44.60 – $132.72 17,876 5
Swansea, MA $81.60 $37.91 – $122.61 17,894 14
Lebanon, TN $28.68 $0.00 – $85.23 17,898 25
Suwanee, GA $91.00 $46.22 – $145.82 17,903 9
Bremen, IN $9.64 $9.04 – $29.08 18,001 2
Pickerington, OH $43.11 $13.72 – $122.55 18,015 20
Alvaton, KY $70.48 $12.15 – $85.19 18,030 11
Rockaway Park, NY $24.86 $23.55 – $44.83 18,062 3
West Caldwell, NJ $88.02 $46.06 – $148.85 18,066 4
Hiawatha, KS $76.93 $0.00 – $136.80 18,069 21
Peachtree City, GA $76.46 $0.00 – $115.73 18,071 16
Isabela, PR $8.49 $0.00 – $14.71 18,114 15
West Carrollton, OH $81.10 $28.83 – $110.22 18,118 12
Bloomingdale, IL $69.63 $0.00 – $142.69 18,131 5
Sandy Springs, GA $27.42 $17.98 – $92.00 18,136 3
Boyne Falls, MI $101.82 $74.35 – $118.64 18,146 3
Menomonee Falls, WI $44.10 $5.83 – $109.85 18,191 19
Encinitas, CA $16.12 $0.00 – $194.00 18,213 14
Nellis Afb, NV $61.52 $6.43 – $108.89 18,244 17
Pasadena, TX $62.45 $0.00 – $113.11 18,252 28
Tracy, CA $101.55 $0.00 – $277.08 18,271 11
Moriarty, NM $103.29 $16.90 – $132.55 18,307 8
Forest City, NC $54.74 $22.36 – $106.79 18,338 17
North East, MD $118.37 $45.19 – $134.51 18,404 9
Greenfield, OH $71.69 $28.29 – $87.02 18,432 8
Bessemer, AL $66.14 $8.95 – $76.19 18,437 9
Brooklyn Park, MN $90.77 $9.57 – $192.52 18,441 41
Pomona, NY $95.17 $42.22 – $163.50 18,454 12
Ludlow, MA $63.18 $14.92 – $105.49 18,456 11
Amite, LA $30.68 $0.00 – $51.83 18,459 9
Oneida, TN $49.52 $23.03 – $87.07 18,467 9
Brookhaven, GA $65.08 $37.79 – $71.15 18,470 2
Tewksbury, MA $45.27 $21.19 – $86.57 18,491 6
Bogalusa, LA $20.33 $0.00 – $78.11 18,529 17
St Clair, MI $68.58 $68.58 – $68.58 18,532 1
Piggott, AR $71.24 $25.91 – $89.69 18,552 11
Manorville, NY $68.92 $59.80 – $118.06 18,610 4
Morris Plains, NJ $82.83 $45.25 – $246.58 18,621 6

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.