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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
Monterey Park, CA $26.36 $0.00 – $79.54 33,188 13
Cloquet, MN $271.09 $31.19 – $655.21 33,214 27
Garfield Hts, OH $32.51 $17.24 – $111.11 33,243 10
Bradenton, FL $28.86 $0.00 – $127.42 33,259 50
West Palm Beach, FL $25.87 $0.00 – $92.97 33,347 29
Midwest City, OK $56.66 $42.68 – $160.47 33,370 8
Maspeth, NY $82.23 $71.52 – $121.16 33,380 7
Watertown, SD $84.90 $1.51 – $141.82 33,400 13
Alcoa, TN $56.82 $24.02 – $91.86 33,416 13
Superior, WI $55.47 $0.00 – $136.16 33,423 36
Mora, MN $96.26 $33.26 – $193.01 33,444 16
La Quinta, CA $143.10 $19.39 – $469.76 33,464 18
Bronxville, NY $87.87 $60.64 – $154.03 33,465 7
Carencro, LA $22.81 $8.94 – $42.88 33,469 8
Fontana, CA $126.46 $0.00 – $329.94 33,476 58
Madison, CT $58.74 $0.00 – $107.37 33,528 27
Morgan City, LA $32.71 $2.09 – $96.66 33,622 20
El Dorado, AR $61.28 $0.00 – $110.33 33,628 34
West Lafayette, IN $37.94 $14.22 – $171.06 33,658 10
Trumbull, CT $46.40 $0.00 – $94.14 33,689 23
Bryn Mawr, PA $74.59 $0.00 – $101.96 33,697 6
Marion, VA $75.50 $14.60 – $185.26 33,728 23
Belen, NM $99.14 $19.03 – $155.87 33,752 13
Thomasville, NC $71.62 $18.37 – $106.36 33,754 27
Mount Vernon, WA $81.35 $0.00 – $224.91 33,806 39
Loranger, LA $0.42 $0.00 – $10.69 33,830 16
Wilmington, OH $64.98 $0.00 – $104.25 33,845 46
Sedalia, MO $43.39 $1.61 – $177.42 33,869 27
Baytown, TX $42.40 $0.00 – $106.70 33,911 31
Potsdam, NY $105.47 $0.00 – $143.26 33,924 11
Carolina, PR $9.15 $0.00 – $108.96 33,947 30
Cromwell, CT $60.89 $0.00 – $108.78 34,009 21
Brandenburg, KY $74.60 $8.68 – $90.22 34,012 7
Yellow Springs, OH $56.32 $18.72 – $96.63 34,103 29
Antioch, CA $176.85 $0.00 – $1,379 34,281 38
Gretna, LA $30.19 $0.00 – $113.56 34,379 39
Charlotte, MI $86.67 $0.00 – $112.19 34,384 9
Ottawa, KS $64.70 $0.00 – $100.24 34,406 30
Mountlake Terrace, WA $44.68 $0.00 – $325.02 34,413 26
Oak Brook, IL $72.86 $0.14 – $139.56 34,452 27
Oak Bluffs, MA $75.52 $16.35 – $132.67 34,454 5
Woodburn, OR $122.71 $18.55 – $208.61 34,475 35
Gainesville, FL $43.62 $0.00 – $789.87 34,555 64
Bellefontaine, OH $56.93 $0.61 – $102.31 34,588 29
Saint Clair Shores, MI $60.99 $14.06 – $87.06 34,601 14
Raymore, MO $17.79 $0.00 – $152.61 34,664 71
Statesboro, GA $70.26 $1.12 – $87.79 34,711 15
Pasco, WA $38.96 $0.00 – $413.24 34,719 42
Severna Park, MD $89.81 $26.28 – $114.55 34,743 14
Milwaukie, OR $131.96 $3.68 – $270.94 34,756 51

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.