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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
Derby, NY $108.13 $57.51 – $123.17 26,957 3
Tallulah, LA $38.51 $11.91 – $53.85 26,960 9
Pulaski, NY $75.12 $36.77 – $101.91 26,986 5
Cecilia, KY $46.31 $25.07 – $84.98 27,023 14
Claremont, NH $26.40 $0.00 – $118.00 27,064 14
Malta, OH $28.27 $0.00 – $87.55 27,077 5
Lebanon, VA $64.25 $0.00 – $87.48 27,088 17
Westerly, RI $71.30 $0.00 – $114.25 27,124 24
Sandpoint, ID $57.52 $0.00 – $114.42 27,137 29
Greer, SC $100.32 $0.00 – $240.14 27,137 22
Brooklyn Center, MN $99.84 $16.46 – $238.92 27,138 38
Ellicott City, MD $82.10 $23.13 – $158.53 27,146 21
Carbondale, IL $11.05 $0.00 – $171.76 27,189 21
Cosmopolis, WA $13.89 $13.89 – $13.89 27,253 1
Cordova, TN $50.47 $1.19 – $109.29 27,258 34
Bolivar, TN $37.70 $4.64 – $82.49 27,280 16
Millington, TN $55.12 $15.93 – $98.51 27,306 5
Dyer, IN $61.29 $10.98 – $117.21 27,348 18
White Plains, MD $104.00 $54.81 – $128.94 27,354 6
San Dimas, CA $194.36 $0.00 – $383.17 27,370 18
Panorama City, CA $25.79 $0.00 – $176.58 27,392 25
Mount Shasta, CA $49.75 $0.00 – $323.53 27,408 14
La Junta, CO $160.67 $0.00 – $285.23 27,414 15
Woodbury Heights, NJ $73.68 $71.90 – $89.70 27,442 3
Seymour, CT $52.00 $7.13 – $94.58 27,474 16
Pulaski, TN $38.82 $13.94 – $146.70 27,487 7
Mansfield, TX $56.56 $11.61 – $216.42 27,495 28
Aberdeen, SD $95.34 $55.62 – $153.04 27,545 14
Rock Valley, IA $69.80 $59.22 – $101.02 27,554 12
Banning, CA $162.76 $0.00 – $510.64 27,559 14
Livingston, LA $1.77 $0.00 – $47.16 27,595 20
Howell, NJ $92.06 $0.00 – $108.02 27,602 11
Grinnell, IA $72.39 $0.21 – $101.74 27,616 16
Mastic Beach, NY $67.26 $53.98 – $70.40 27,617 5
Cambridge, MN $81.51 $43.57 – $164.62 27,709 33
Gillespie, IL $0.85 $0.00 – $38.67 27,747 4
Tijeras, NM $43.89 $12.80 – $147.48 27,774 5
Essex Junction, VT $77.10 $37.90 – $107.53 27,780 15
Aberdeen, WA $60.04 $0.00 – $217.67 27,782 25
Mount Pleasant, WI $44.78 $20.29 – $100.90 27,847 34
Miramar, FL $26.38 $0.09 – $97.72 27,894 11
Sunland Park, NM $104.62 $16.61 – $186.32 27,953 11
Van Wert, OH $59.92 $0.74 – $88.89 27,986 32
Edmonds, WA $71.75 $0.00 – $145.78 27,991 34
North Andover, MA $98.50 $1.23 – $162.64 28,006 19
Healdsburg, CA $14.60 $0.00 – $131.97 28,056 14
Magna, UT $138.68 $0.00 – $141.67 28,056 8
Scottsbluff, NE $108.96 $27.15 – $225.27 28,061 37
Cooperstown, NY $139.82 $16.87 – $176.14 28,089 11
Richfield, MN $98.49 $42.67 – $454.20 28,102 24

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.