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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
North Tonawanda, NY $88.97 $53.44 – $120.95 25,182 8
Lake Worth, FL $24.73 $0.00 – $209.69 25,188 11
Hiawatha, IA $72.02 $25.05 – $145.05 25,202 26
Seaford, NY $84.28 $0.00 – $99.48 25,232 6
Grove City, OH $74.41 $22.49 – $132.77 25,240 48
Crossett, AR $31.98 $18.97 – $89.15 25,244 7
Gladstone, OR $105.91 $0.00 – $261.41 25,267 39
Pearland, TX $100.96 $2.98 – $240.01 25,291 38
Festus, MO $34.66 $0.00 – $110.57 25,307 49
North Royalton, OH $67.04 $27.10 – $109.04 25,344 11
Williston, VT $69.52 $0.00 – $93.48 25,397 16
Texarkana, TX $60.95 $14.18 – $105.87 25,402 14
Hoffman Estates, IL $79.95 $18.45 – $129.33 25,417 16
Rocky Mount, NC $46.92 $0.00 – $168.03 25,427 50
Penn Valley, CA $27.27 $21.53 – $122.41 25,438 3
Leonardtown, MD $106.91 $17.42 – $190.87 25,455 15
Coal City, IL $71.54 $53.35 – $102.30 25,463 6
Star, ID $56.69 $12.38 – $78.24 25,496 5
Millsboro, DE $37.25 $0.00 – $116.49 25,500 12
Pullman, WA $18.48 $0.00 – $99.28 25,502 29
Hudson, WI $45.61 $0.29 – $194.37 25,523 30
Yucca Valley, CA $106.07 $0.00 – $328.11 25,531 16
Toa Baja, PR $2.39 $0.00 – $12.62 25,537 19
Missouri City, TX $66.71 $0.00 – $148.10 25,538 17
Gallup, NM $96.56 $17.95 – $250.57 25,552 18
Kihei, HI $64.29 $20.60 – $174.88 25,553 16
South Hill, VA $87.67 $49.61 – $96.30 25,564 6
Crisfield, MD $118.92 $0.00 – $119.29 25,583 2
Waynesboro, VA $61.77 $54.55 – $121.41 25,612 10
Lyndonville, VT $77.55 $5.72 – $92.11 25,629 8
Portales, NM $80.10 $6.58 – $155.83 25,632 23
Simi Valley, CA $140.22 $0.00 – $226.09 25,660 22
Aibonito, PR $13.57 $0.00 – $113.05 25,719 24
Logan, WV $47.61 $0.00 – $109.12 25,720 18
Neenah, WI $31.38 $1.24 – $104.92 25,750 29
Plainfield, CT $65.32 $1.28 – $93.12 25,816 8
League City, TX $41.01 $0.00 – $129.75 25,853 12
Foley, AL $44.18 $28.85 – $85.26 25,867 6
Springvale, ME $6.51 $0.00 – $32.16 25,874 8
Kannapolis, NC $71.21 $6.86 – $123.57 25,897 23
Vandalia, OH $76.64 $3.44 – $96.63 25,899 26
Marion, IA $69.83 $36.47 – $112.02 25,935 22
Berkley, MI $76.32 $64.03 – $77.97 25,985 4
Boys Town, NE $103.67 $31.48 – $170.97 26,010 60
Grants, NM $132.22 $28.15 – $345.06 26,027 23
Sterling, VA $59.06 $4.69 – $107.79 26,031 17
Bohemia, NY $79.89 $26.04 – $113.68 26,039 17
Chicopee, MA $58.25 $9.91 – $185.87 26,040 28
Clearlake, CA $77.93 $0.08 – $486.37 26,088 13
Elk River, MN $90.35 $18.22 – $212.73 26,100 30

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.