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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
Arlington, WA $69.71 $8.26 – $131.05 26,128 27
Altamonte Springs, FL $62.63 $0.00 – $127.15 26,136 10
Rio Grande, NJ $87.34 $84.91 – $459.71 26,156 2
Warner Robins, GA $76.66 $13.87 – $131.79 26,170 23
Smithfield, NC $83.40 $15.87 – $628.69 26,223 33
Lawrenceburg, KY $36.52 $20.73 – $132.41 26,244 10
Oroville, CA $75.45 $0.59 – $427.24 26,259 21
Monroe, NJ $109.53 $25.16 – $117.04 26,259 2
Kirkland, WA $61.23 $0.00 – $215.92 26,270 37
Williamstown, NJ $150.86 $53.87 – $236.98 26,271 4
Payson, UT $78.23 $4.54 – $190.78 26,278 4
Talbott, TN $59.99 $0.00 – $131.10 26,310 13
Norwalk, CA $101.20 $0.00 – $396.98 26,334 35
Saint Helens, OR $70.13 $0.00 – $737.65 26,356 48
Avenel, NJ $91.34 $91.13 – $412.40 26,388 2
New Port Richey, FL $42.36 $0.00 – $100.95 26,432 23
Charleston, IL $61.20 $0.00 – $125.11 26,442 10
Thompson Falls, MT $88.91 $74.44 – $200.83 26,462 10
Waynesville, MO $43.19 $13.54 – $231.84 26,467 24
Longview, TX $59.00 $2.00 – $211.97 26,469 33
Tulare, CA $284.23 $0.00 – $394.65 26,481 13
Crescent City, CA $45.23 $0.00 – $398.01 26,491 26
Baker City, OR $28.18 $0.00 – $308.22 26,502 33
Spindale, NC $83.29 $15.40 – $111.47 26,510 21
Canton, NY $120.44 $40.89 – $307.56 26,512 8
Juana Diaz, PR $27.36 $0.00 – $147.07 26,533 16
Avondale, AZ $98.04 $0.00 – $327.79 26,544 40
Pomeroy, OH $35.50 $0.00 – $110.59 26,549 16
North Kingstown, RI $69.24 $29.58 – $165.16 26,615 47
College Park, MD $125.05 $108.52 – $159.32 26,642 3
Chubbuck, ID $48.98 $10.84 – $115.56 26,655 21
Brunswick, ME $72.25 $14.98 – $105.35 26,665 16
Airmont, NY $136.40 $136.40 – $136.40 26,668 1
Salem, MO $26.69 $0.00 – $96.12 26,679 12
Moroni, UT $93.44 $56.31 – $165.07 26,679 5
Hollywood, FL $35.14 $0.00 – $142.42 26,686 41
Maple Heights, OH $36.68 $17.92 – $102.31 26,704 12
Woodland Park, CO $67.92 $0.00 – $151.46 26,707 18
La Verne, CA $122.23 $0.00 – $334.26 26,744 12
Vienna, VA $78.34 $0.00 – $157.80 26,744 14
New Ulm, MN $83.66 $39.16 – $210.07 26,755 26
Yankton, SD $79.68 $9.47 – $199.25 26,762 12
Attleboro, MA $61.38 $5.39 – $139.30 26,769 23
Chalmette, LA $15.87 $0.00 – $98.13 26,779 31
Lincolnton, NC $65.72 $25.30 – $99.56 26,811 20
Amherst, MA $77.03 $3.06 – $137.08 26,860 33
Hialeah, FL $18.75 $0.00 – $110.36 26,890 26
Flushing, MI $78.91 $52.41 – $87.73 26,898 8
Georgetown, SC $114.67 $67.92 – $130.02 26,917 6
Berrien Springs, MI $71.25 $71.15 – $72.13 26,937 2

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.