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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
Briarcliff Manor, NY $20.52 $20.13 – $140.31 20,687 2
Wickliffe, OH $55.50 $15.75 – $91.36 20,694 7
Aberdeen, NC $90.64 $37.42 – $112.82 20,698 9
Clearwater, FL $43.75 $0.00 – $224.15 20,745 34
Lebanon, OR $47.62 $0.00 – $185.69 20,773 20
Jasonville, IN $9.96 $9.96 – $9.96 20,776 1
Downers Grove, IL $76.81 $2.63 – $143.62 20,780 19
Newport, KY $63.50 $14.60 – $159.92 20,802 24
Leesburg, FL $23.23 $0.92 – $124.99 20,856 13
Prospect, CT $53.50 $0.11 – $78.86 20,878 11
Milford, MI $68.23 $11.41 – $79.88 20,880 7
Rhinelander, WI $49.40 $6.73 – $99.06 20,893 33
Williamstown, KY $85.44 $63.55 – $133.86 20,893 5
Madawaska, ME $7.94 $2.22 – $61.81 20,904 4
St Petersburg, FL $18.63 $0.00 – $290.50 20,928 36
Rome, NY $97.95 $26.69 – $203.59 20,938 20
Vega Alta, PR $4.60 $0.00 – $60.00 20,941 9
Troy, MO $28.39 $0.00 – $97.85 20,946 25
West Burlington, IA $26.65 $1.15 – $123.26 20,991 13
Brookings, OR $41.68 $1.57 – $188.74 21,011 17
Ozark, AL $71.61 $26.93 – $142.31 21,012 17
Highland Park, IL $34.55 $0.03 – $113.26 21,042 10
West Brookfield, MA $91.31 $87.17 – $95.69 21,062 4
Fuquay Varina, NC $81.33 $24.83 – $225.66 21,072 18
Great Neck, NY $82.13 $18.27 – $144.56 21,087 23
Baltimore City, MD $135.94 $126.85 – $151.70 21,108 2
Deer Park, WA $33.99 $0.00 – $98.61 21,109 8
Central City, KY $37.16 $4.20 – $79.79 21,112 10
Laramie, WY $63.40 $0.00 – $111.70 21,156 21
Warren, AR $39.29 $0.72 – $99.10 21,195 6
La Follette, TN $44.86 $3.64 – $64.58 21,224 9
Aztec, NM $44.42 $6.73 – $288.16 21,248 10
San Sebastian, PR $1.58 $0.00 – $2.91 21,253 10
Detroit Lakes, MN $171.01 $27.68 – $576.13 21,286 31
Union, MS $95.95 $95.95 – $95.95 21,290 1
Weldon, NC $64.21 $64.11 – $64.79 21,315 2
Ossining, NY $66.21 $17.15 – $121.61 21,327 16
Indian Orchard, MA $74.52 $52.30 – $123.34 21,330 6
Shoreline, WA $45.99 $0.00 – $188.27 21,343 50
Van Buren, AR $66.21 $0.00 – $111.44 21,345 18
Portage, WI $71.74 $21.86 – $114.74 21,364 32
Chantilly, VA $73.67 $11.04 – $101.85 21,366 14
Tillamook, OR $55.05 $0.00 – $156.41 21,377 29
Apex, NC $75.58 $0.00 – $146.99 21,392 24
Bourbonnais, IL $90.58 $35.07 – $172.06 21,398 10
Rainelle, WV $12.88 $0.00 – $100.23 21,416 12
Germantown, WI $54.25 $40.38 – $170.00 21,430 11
Presque Isle, ME $28.04 $17.40 – $580.15 21,439 8
Boone, NC $69.76 $0.00 – $195.11 21,471 38
Belgrade, MT $84.99 $42.22 – $108.17 21,478 18

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.