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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
West Portsmouth, OH $73.39 $2.78 – $123.67 28,183 26
Parksley, VA $72.43 $59.76 – $84.18 28,191 7
Leavenworth, KS $76.50 $0.00 – $132.07 28,192 34
Burnsville, MN $106.43 $7.25 – $624.67 28,222 51
Springboro, OH $65.30 $50.63 – $102.53 28,238 19
Wantagh, NY $90.55 $22.81 – $166.43 28,298 20
Waynesville, NC $61.03 $0.00 – $195.77 28,302 52
Fostoria, OH $67.22 $25.03 – $93.64 28,314 10
Barboursville, WV $76.76 $0.00 – $101.09 28,336 21
Stanton, MI $248.94 $248.94 – $248.94 28,360 1
Shallotte, NC $64.54 $1.07 – $130.66 28,368 40
Prineville, OR $121.61 $39.58 – $216.63 28,374 31
Ewa Beach, HI $73.25 $0.00 – $162.86 28,387 17
Plano, TX $81.70 $3.01 – $287.03 28,399 52
Arlington, MA $57.80 $0.00 – $92.84 28,427 19
Caldwell, ID $73.95 $-3.71 – $147.39 28,473 50
Bedford, MA $86.13 $38.17 – $128.08 28,490 7
Waukegan, IL $11.44 $0.00 – $193.06 28,532 15
Palo Alto, CA $127.10 $0.00 – $710.97 28,565 33
Potosi, MO $56.21 $9.23 – $204.67 28,600 15
Newtown, CT $104.03 $0.00 – $681.95 28,605 31
West Bloomfield, MI $66.19 $25.58 – $85.85 28,622 7
Lincoln City, OR $90.05 $0.00 – $166.35 28,625 22
Cidra, PR $4.26 $0.00 – $31.84 28,644 16
Boca Raton, FL $57.11 $0.00 – $210.50 28,649 27
Georgetown, OH $69.60 $17.00 – $97.57 28,698 26
Hauppauge, NY $81.13 $12.33 – $130.64 28,713 21
Edgewood, MD $126.07 $47.83 – $143.48 28,717 10
Hammonton, NJ $9.52 $0.00 – $438.17 28,724 12
Collingswood, NJ $76.45 $61.85 – $95.20 28,736 4
Franklin, IN $21.11 $0.00 – $73.69 28,762 13
Pendleton, OR $43.07 $0.00 – $510.10 28,786 46
Gaylord, MI $77.86 $38.31 – $84.07 28,822 10
Mount Orab, OH $65.37 $0.00 – $101.76 28,932 32
Bonne Terre, MO $47.27 $18.95 – $120.19 28,944 7
Conroe, TX $65.63 $0.00 – $221.81 28,970 39
Port Jervis, NY $154.09 $62.08 – $184.94 28,985 13
Fairview Park, OH $53.01 $21.50 – $98.05 28,992 8
Carmel, CA $79.94 $33.33 – $151.89 29,003 7
Frenchburg, KY $44.39 $22.11 – $62.53 29,024 10
Ellensburg, WA $31.77 $0.00 – $158.93 29,035 33
Ontario, OR $51.94 $0.00 – $420.75 29,057 53
Louisburg, NC $80.07 $0.00 – $183.79 29,068 29
Sidney, OH $81.84 $31.51 – $105.59 29,070 24
Forestville, MD $119.79 $8.78 – $171.92 29,076 6
Shelby, OH $64.93 $22.08 – $115.35 29,094 21
Humacao, PR $11.56 $0.00 – $97.74 29,096 31
Mequon, WI $54.35 $4.60 – $163.90 29,114 35
Gloucester, VA $69.11 $10.58 – $101.35 29,135 20
Calabasas, CA $59.14 $30.08 – $176.26 29,189 11

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.